Provider Demographics
NPI:1508836933
Name:MUNSEY, BARRY LEE (PA)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:LEE
Last Name:MUNSEY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20 BOBBYS WAY
Mailing Address - Street 2:STE 105
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4461
Mailing Address - Country:US
Mailing Address - Phone:540-480-9755
Mailing Address - Fax:
Practice Address - Street 1:40 LAMBERT ST
Practice Address - Street 2:SUITE 522
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2446
Practice Address - Country:US
Practice Address - Phone:540-885-3525
Practice Address - Fax:540-886-5935
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2017-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110-840600363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8918767Medicaid
970000191Medicare ID - Type Unspecified
VA8918767Medicaid