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Trevor Barry

Military Health Care Provider, Independent Duty Medical Technicians in Dayton, OH. Individual provider (NPI-1).

NPI number1992490551
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1992490551
Entity type
Individual (NPI-1)
Name
Trevor Barry
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2023
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

5486 Buckeye St Rm 123
Dayton, OH 45433-5411

Phone 702-576-6625

Mailing address

559 Vincent St., Space Base Delta 1
Peterson Space Force Base, CO 80914-5411

Phone 702-576-6625

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Independent Duty Medical Technicians providers in Dayton, OH

All 10 Independent Duty Medical Technicians providers in Dayton · All 15,314 providers in Dayton

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