Barry Childs Smith, PHYSICIANS ASSISTANT

Physician Assistant · Warren, MI

Individual Active NPI

NPI number 1851613475

Practice location

30500 Van Dyke Ave Ste 203
Warren, MI 48093-2109
Phone
(248) 480-9066
Fax
(248) 480-9062

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NPI record

NPI
1851613475
Entity type
Individual (Type 1)
Enumeration date
February 23, 2010
Last updated
January 10, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5601001288 MI

Mailing address

751 E 9 Mile Rd
Ste 100
Ferndale, MI 48220-1990
Phone
(248) 336-2850

About Barry Smith

Barry Childs Smith, PHYSICIANS ASSISTANT is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 30500 Van Dyke Ave Ste 203, Warren, MI 48093-2109. The NPI number 1851613475 was assigned on February 23, 2010 and the record was last updated on January 10, 2019.

Barry Smith lists a license in the registry: #5601001288 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Barry Childs Smith, PHYSICIANS ASSISTANT?

The NPI number is 1851613475.

What is the phone number of Barry Smith?

The phone number listed for the practice location is (248) 480-9066.

Where is Barry Smith located?

30500 Van Dyke Ave Ste 203, Warren, MI 48093-2109.

What is the taxonomy code for Barry Smith?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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