Basic Information
Provider Information
NPI: 1639512635
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARRANCO
FirstName: ANDREW
MiddleName: FRANCIS
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 661281
Address2:  
City: VESTAVIA HILLS
State: AL
PostalCode: 352661281
CountryCode: US
TelephoneNumber: 4234396283
FaxNumber:  
Practice Location
Address1: 3800 RIDGEWAY DR
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352095506
CountryCode: US
TelephoneNumber: 2058682000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2013
LastUpdateDate: 10/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000XDO1464ALY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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