Individual
JAMES BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
3318 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4008
(479) 872-1294
Mailing address
PO BOX 565, JOHNSON, AR 72741-0565
(479) 872-1294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00887
AR
Other
Enumeration date
08/03/2006
Last updated
12/14/2007
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