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Individual

ROBERT H BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6948 E NIGHT GLOW CIR, SCOTTSDALE, AZ 85262-7021
(480) 502-6884
Mailing address
6948 E NIGHT GLOW CIR, SCOTTSDALE, AZ 85262-7021
(480) 502-6884

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30425
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200163087
CDS
MO
05
245176904
MO
Enumeration date
05/12/2006
Last updated
03/07/2023
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