Individual
RICHARD BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 627-7000
Mailing address
3310 E BERRENDO RD, ROSWELL, NM 88201-9186
(575) 607-8005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
68533
NM
Other
Enumeration date
03/04/2022
Last updated
11/19/2024
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