# ROBERT G BERRY JR LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain West Sport and Spine, Orthopedic Rehabilitation Specialist of Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386654911
- **Authorized official:** ASHLEY B GEORGETTA (CREDENTIALING)
- **Authorized official phone:** (775) 448-9456

## Contact information

- **Practice address:** 6630 S MCCARRAN BLVD STE A3, RENO, NV 89509-6184
- **Practice address phone:** (775) 828-2863
- **Practice address fax:** (866) 571-0056
- **Mailing address:** 6630 S MCCARRAN BLVD STE A3, RENO, NV 89509-6136
- **Mailing address phone:** (775) 828-2863
- **Mailing address fax:** (775) 448-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NV | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 07/10/2023