Individual
LEVI J BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
478 S MAIN ST, SPANISH FORK, UT 84660-2410
(801) 609-4743
Mailing address
83 E 1200 N, MAPLETON, UT 84664-3710
(801) 609-4743
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
93570600501
UT
Other
Enumeration date
07/03/2012
Last updated
08/04/2015
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