Individual
DR. ROBERT G BERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6630 S MCCARRAN BLVD, SUITE A-4, RENO, NV 89509-6135
(775) 828-2873
(775) 828-2889
Mailing address
6630 S MCCARRAN BLVD, SUITE A-4, RENO, NV 89509-6135
(775) 828-2873
(775) 828-2889
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6668
NV
208100000X
Physical Medicine & Rehabilitation Physician
G75770
CA
208VP0000X
Pain Medicine Physician
6668
NV
208VP0000X
Pain Medicine Physician
G75770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016504
—
NV
01
—
11039746
CAQH
NV
Enumeration date
12/20/2005
Last updated
07/20/2010
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