Organization
ROBERT E. BERRY, DO PA
Active
Other names
TEAM Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E BERRY D.O. (PRESIDENT)
(858) 571-0606
Entity
Organization
Contact information
Practice address
5471 KEARNY VILLA RD, SUITE 200, SAN DIEGO, CA 92123-1151
(858) 571-0606
(858) 715-4942
Mailing address
5471 KEARNY VILLA RD, SUITE 200, SAN DIEGO, CA 92123-1151
(858) 571-0606
(858) 715-4942
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M1511
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M1511
TX
Other
Enumeration date
02/09/2009
Last updated
12/10/2010
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