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Individual

BRIAN BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 346-7313
(304) 744-9802
Mailing address
PO BOX 711841, COLUMBUS, OH 43271-1841
(304) 346-7313
(304) 744-9802

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN563759
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
WV
Enumeration date
01/12/2009
Last updated
06/15/2009
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