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Individual
BILL WAYNE BERRY JR.
Active
Individual
BILL WAYNE BERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101054182
VA
207YX0602X
Otolaryngic Allergy Physician
0101054182
VA
Other
Enumeration date
07/27/2005
Last updated
10/30/2012
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