Provider Demographics
NPI:1326334160
Name:BARRY, WILILAM (DVM)
Entity Type:Individual
Prefix:DR
First Name:WILILAM
Middle Name:
Last Name:BARRY
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1719
Mailing Address - Street 2:1521 S. MULLEN ST
Mailing Address - City:AIRWAY HEIGHTS
Mailing Address - State:WA
Mailing Address - Zip Code:99001-1719
Mailing Address - Country:US
Mailing Address - Phone:509-244-5549
Mailing Address - Fax:509-244-0749
Practice Address - Street 1:1521 S. MULLEN
Practice Address - Street 2:
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99001
Practice Address - Country:US
Practice Address - Phone:509-244-5549
Practice Address - Fax:509-244-0749
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVT60094000174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian