Individual
DR. JOHNATHON ALLEN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12001 HIGHWAY 71 S, RAPID CITY, SD 57747
(605) 745-8910
Mailing address
13880 CLYDESDALE RD, RAPID CITY, SD 57702-7339
(910) 257-4361
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.163599
IL
207P00000X
Emergency Medicine Physician
11969
SD
207P00000X
Emergency Medicine Physician
Q2248
TX
Other
Enumeration date
06/19/2007
Last updated
02/07/2024
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