NPI 1013718360

Russell Wade Barry, MD

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

Practice location

Address: 2021 Professional Center Dr STE 108, Orange Park, FL 32073-4461
Phone: (912) 398-3464

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Florida →

Registry record

NPI: 1013718360
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2025
Record last updated: 22 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.