Individual
PHILIP TODD BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
RR 2 BOX 615A, SCARBRO, WV 25917-9784
(304) 388-2525
(304) 388-2537
Mailing address
RR 2 BOX 615A, SCARBRO, WV 25917-9784
(304) 388-2525
(304) 388-2537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2120
WV
207Q00000X
Family Medicine Physician
34.012389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181970
—
OH
05
—
3810010455
—
WV
Enumeration date
04/23/2007
Last updated
12/27/2016
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