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Organization

ROBERT E. BERRY, DO, PC

Active
Other names
Robert E. Berry, DO, A Professional Corporation
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BEVERLY ANN MIZE RHIT (CREDENTIALING SPECIALIST)
(858) 427-9203
Entity
Organization

Contact information

Practice address
5471 KEARNY VILLA RD., SUITE 200, SAN DIEGO, CA 92123-1143
(858) 571-0606
Mailing address
5471 KEARNY VILLA RD., SUITE 200, SAN DIEGO, CA 92123-1143
(858) 571-0606

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20A7616
CA

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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