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Individual

TREVOR SEAN BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., D.A.C.N.B.

Contact information

Practice address
1761 E WARNER RD, STE. A17, TEMPE, AZ 85284-4558
(480) 756-2600
(480) 756-2530
Mailing address
1761 E WARNER RD, STE. A17, TEMPE, AZ 85284-4558
(480) 756-2600
(480) 756-2530

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
5648
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28071104
WORKERS COMP.
AZ
01
641432
UNITED HEALTH CARE
AZ
01
AZ 0243810
BCBS OF AZ
AZ
Enumeration date
10/19/2005
Last updated
07/08/2007
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