Provider Demographics
NPI:1932230588
Name:BIARS, AMANDA L
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:L
Last Name:BIARS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3163 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4831
Mailing Address - Country:US
Mailing Address - Phone:740-354-7484
Mailing Address - Fax:
Practice Address - Street 1:3163 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4831
Practice Address - Country:US
Practice Address - Phone:740-354-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization