Provider Demographics
NPI:1295924645
Name:MCMILLS, BARRY (CPO)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:MCMILLS
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 GARCIA AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-1123
Mailing Address - Country:US
Mailing Address - Phone:650-625-1000
Mailing Address - Fax:650-625-1133
Practice Address - Street 1:2601 GARCIA AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1123
Practice Address - Country:US
Practice Address - Phone:650-625-1000
Practice Address - Fax:650-625-1133
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist