Individual
DR. JOHN NATHAN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 CHISOLM TRL, CENTERVILLE, OH 45458-9462
(210) 262-4993
Mailing address
1207 CHISOLM TRL, CENTERVILLE, OH 45458-9462
(210) 262-4993
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
N1551
TX
2085R0202X
Diagnostic Radiology Physician
Primary
N1551
TX
Other
Enumeration date
11/08/2005
Last updated
04/15/2022
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