| Haley Richelle Barrong, DTR | |
|
13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | |
| (480) 301-8000 | |
| Not Available |
| Full Name | Haley Richelle Barrong |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 13400 E Shea Blvd, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639937196 | NPI | - | NPPES |
| 209821 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (Arizona) | Primary |
| Provider Name | Mayo Clinic Arizona |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Richelle Barrong, DTR 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: Not Available | Haley Richelle Barrong, DTR 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: (480) 301-8000 |
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