Individual provider · Type 1 NPI

Russell Wade Barry, MD

Student in an Organized Health Care Education/Training Program · Orange Park, FL

NPI number 1013718360 Active

Practice location

2021 Professional Center Dr Ste 108
Orange Park, FL 32073-4461

Call (912) 398-3464 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013718360

Russell Wade Barry, MD's National Provider Identifier is 1013718360, issued on Mar 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange Park, FL. The record was last updated on Mar 22, 2025.