Individual
DR. EDWARD BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD STE 3680, OGDEN, UT 84403-3289
(801) 387-3900
(801) 387-3905
Mailing address
4403 HARRISON BLVD STE 3680, OGDEN, UT 84403-3289
(801) 387-3900
(801) 387-3905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
185322
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10602
—
UT
Enumeration date
12/12/2006
Last updated
07/09/2007
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