Individual
MR. DUSTIN LEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(707) 315-0273
(707) 315-0273
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(707) 315-0273
(707) 315-0273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006482
VA
Other
Enumeration date
09/05/2008
Last updated
06/22/2023
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