Individual
WILLIAM L BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
719 DETROIT STREET, DANVILLE, AR 72833-0639
(479) 495-2241
(479) 495-6290
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-2241
(479) 495-6290
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C-4913
AR
207Q00000X
Family Medicine Physician
Primary
C-4913
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104435001
—
AR
01
—
50447
MEDICARE
AR
Enumeration date
06/26/2006
Last updated
09/14/2021
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