Individual
DENNIS JARED BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
Mailing address
880 W MAIN ST, BOONEVILLE, AR 72927-3443
(479) 675-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-12897
AR
Other
Enumeration date
03/27/2018
Last updated
09/14/2022
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