Individual
DR. WILLIAM R BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19951
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01199512
—
CO
01
—
016210
KAISER-COMMERCIAL NUMBER
CO
Enumeration date
03/07/2007
Last updated
08/27/2012
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