| NPI Details | |
|---|---|
| NPI | 1083677959 |
| Gender | Male |
| Enumeration Date | 04/10/2006 |
| Last Updated | 01/22/2010 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 751 S BASCOM AVE ANESTHESIOLOGY DEPARTMENT SAN JOSE CA, 95128-2604, US |
|
| Phone | (408) 885-5745 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 5280 PATIENT BUSIENSS SERVICES SAN JOSE CA, 95150-5280, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | California |
| License Number | A83161 |
| Remove 1083677959 NPI Number | |
According to our database, Barry Lee Waddell MD NPI is 1083677959, taxonomy code is 207L00000X and license number is A83161, license state is located at California. Barry Lee Waddell MD physically located at 751 S Bascom Ave, San Jose CA, 95128-2604. NPI Number Barry Lee Waddell MD has the Individual type.
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1083677959 NPI number is provided on an as is basis without warranty of any kind. 1083677959 is maintained by the National Plan & Provider Enumeration System. The contents of Barry Lee Waddell MD are for informational purposes only.
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