Individual
DR. MICHAEL P BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2508 CRESTWOOD RD, NORTH LITTLE ROCK, AR 72116-7623
(501) 758-2294
(501) 758-7877
Mailing address
904 AUTUMN RD STE 500, LITTLE ROCK, AR 72211-3738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-3756
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04020016100
QUALCHOICE
AR
05
—
150346001
—
AR
01
—
652505
HEALTHLINK
AR
01
—
7867477
AETNA
AR
Enumeration date
09/20/2006
Last updated
05/21/2008
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