Provider Demographics
NPI:1467484246
Name:PERSONS, BARBARA L (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:L
Last Name:PERSONS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:911 MORAGA RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4500
Mailing Address - Country:US
Mailing Address - Phone:925-283-4012
Mailing Address - Fax:925-283-4847
Practice Address - Street 1:911 MORAGA RD
Practice Address - Street 2:SUITE 205
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4500
Practice Address - Country:US
Practice Address - Phone:925-283-4012
Practice Address - Fax:925-283-4847
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2013-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA648432086S0122X
NV145562086S0122X
MS189992086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery