Organization
BLACKSBURG PEDIATRICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWIN BERRY D.O, PH.D. (MANAGER)
(540) 443-3940
Entity
Organization
Contact information
Practice address
817 DAVIS ST, SUITE A, BLACKSBURG, VA 24060-7004
(540) 443-3940
(540) 443-3944
Mailing address
817 DAVIS ST, SUITE A, BLACKSBURG, VA 24060-7004
(540) 443-3940
(540) 443-3944
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0102052848
VA
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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