Edward W. Berry MD PC

NPI #1912111006 in Ogden, Utah

Provider Information

NPI Number: 1912111006
Entity Type: Organization
Organization Name: Edward W. Berry MD PC
Primary Specialty: Specialist
Enumeration Date: May 9, 2007
Last Updated: Apr 28, 2008

Practice Location

Address: 4403 HARRISON BLVD STE 3680
City: Ogden
State: Utah
ZIP Code: 84403-3289
Phone: (801) 387-3900

Authorized Official

Name: DR. EDWARD W BERRY, M.D.
Title: PRESIDENT
Phone: (801) 387-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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