Individual
DR. REBECCA A BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010060
IL
Other
Enumeration date
03/16/2010
Last updated
10/16/2012
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