Individual
CHRISTOPHER BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6900 ALDEN DR, FE WARREN AFB, CHEYENNE, WY 82005-3906
(307) 773-3461
Mailing address
6900 ALDEN DR, FE WARREN AFB, CHEYENNE, WY 82005-3906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6033
NE
207Q00000X
Family Medicine Physician
Primary
761
NE
Other
Enumeration date
07/01/2009
Last updated
11/08/2012
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