Individual
JEANNE M. BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
353 FAIRMONT BLVD., RAPID CITY, SD 57701
(605) 719-1000
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
3573
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00210182
RR MEDICARE
SD
Enumeration date
09/24/2006
Last updated
10/11/2013
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