Individual
DR. CRAIG EAGAN BERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 SCRIPPS DR, SUITE 201, SACRAMENTO, CA 95825-6209
(916) 929-6707
(916) 929-6897
Mailing address
77 SCRIPPS DR, SUITE 201, SACRAMENTO, CA 95825-6209
(916) 929-6707
(916) 929-6897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G32698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G326980
—
CA
01
—
94269970
TAX ID
CA
Enumeration date
07/12/2006
Last updated
07/08/2007
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