Individual
GREGORY K BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 N GRAND AVE, SUITE 400, PUEBLO, CO 81003-2700
(719) 543-4000
(719) 543-4010
Mailing address
1600 N GRAND AVE, SUITE 400, PUEBLO, CO 81003-2700
(719) 543-4000
(719) 543-4010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28180
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281807
—
CO
Enumeration date
11/17/2006
Last updated
11/27/2013
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