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Individual

DR. TERRY L. BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050
(573) 348-8100
(573) 348-8650
Mailing address
54 HOSPITAL DRIVE, OSAGE BEACH, MO 65065-3050

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5B53
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MOR5B53
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
R5B53
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134212764
MO
Enumeration date
10/02/2006
Last updated
05/01/2017
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