Provider Demographics
NPI:1073693859
Name:PHYLLIS K BARSON MD PA
Entity Type:Organization
Organization Name:PHYLLIS K BARSON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:BARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-439-0560
Mailing Address - Street 1:1741 OVERLOOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1410
Mailing Address - Country:US
Mailing Address - Phone:301-439-0560
Mailing Address - Fax:301-439-0560
Practice Address - Street 1:1741 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1410
Practice Address - Country:US
Practice Address - Phone:301-439-0560
Practice Address - Fax:301-439-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty