Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 0101020745 | VA |
NPI | 1316943426 |
---|---|
Provider Name | Dr. Barry Byer |
First Address | Falls Church, VA 22046-4520 |
Second Address | Falls Church, VA 22046-4520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 15/01/2009 |