Individual
DR. ZACHARY MICHAEL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 W GORE BLVD, SUITE 104, LAWTON, OK 73505
(580) 250-6659
(580) 250-5249
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27238
OK
208100000X
Physical Medicine & Rehabilitation Physician
R1197
KY
Other
Enumeration date
05/29/2008
Last updated
03/15/2010
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