Individual
DR. RYAN SCOTT BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3440 EMPRESA DR STE B, SAN LUIS OBISPO, CA 93401
(805) 548-1550
(805) 623-1595
Mailing address
PO BOX 3160, SAN LUIS OBISPO, CA 93403-3160
(805) 548-1550
(805) 623-1595
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A115238
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
09/13/2019
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