Individual
GLEN W BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 E ROMIE LN, SALINAS, CA 93901-4029
(831) 757-4333
Mailing address
PO BOX 28160, FRESNO, CA 93729-8160
(559) 436-0871
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G54546
CA
Other
Enumeration date
07/26/2006
Last updated
12/30/2008
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