Individual
MAX WAYNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 PIPER STREET, STE A, ANCHORAGE, AK 99508
(907) 339-9455
(907) 339-9445
Mailing address
3650 PIPER STREET, STE A, ANCHORAGE, AK 99508
(907) 339-9455
(907) 339-9445
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
30970
SC
2085R0204X
Vascular & Interventional Radiology Physician
31693
AL
2085R0204X
Vascular & Interventional Radiology Physician
MD60343987
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
Q9958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314118
L&I POST 7/21/13
WA
01
—
P01287745
RR MEDICARE
WA
Enumeration date
07/20/2007
Last updated
08/27/2018
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