Individual
GERALD BERRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
750 MURPHY RD, MEDFORD, OR 97504-8426
(541) 930-3939
Mailing address
10744 N 5250 W, HIGHLAND, UT 84003-8886
(801) 592-6881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
305
WY
207Q00000X
Family Medicine Physician
Primary
PA213975
OR
Other
Enumeration date
02/27/2007
Last updated
08/01/2023
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