Provider Demographics
NPI:1609865310
Name:STERN, BARRY (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:STERN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8765 W KELTON LN
Mailing Address - Street 2:STE B1-110
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3584
Mailing Address - Country:US
Mailing Address - Phone:623-974-3621
Mailing Address - Fax:623-974-3622
Practice Address - Street 1:14300 W GRANITE VALLEY DR
Practice Address - Street 2:STE B6
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85375-5783
Practice Address - Country:US
Practice Address - Phone:623-974-3621
Practice Address - Fax:623-974-3622
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2017-05-10
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Provider Licenses
StateLicense IDTaxonomies
AZ5046208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology