Edward W. Berry Md Pc in Ogden - Specialist
Edward W. Berry Md Pc - NPI 1912111006
Edward W. Berry Md Pc is a Specialist in Ogden, Utah. Edward W. Berry Md Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward W. Berry Md Pc is 1912111006. The last update date is 2008-04-28.
Edward W. Berry Md Pc's current location address is 1652 Wildcat Ln # 1, Ogden, Utah. You can contact this provider via phone number 8013932249 and fax number 8013939909. The mailing address for Edward W. Berry Md Pc is 1652 Wildcat Ln # 1, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edward W. Berry Md Pc |
|---|---|
| Address | 1652 Wildcat Ln # 1, Ogden, Utah |
| Phone Number | 8013932249 |
| Fax Number | 8013939909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Berry W Edward |
| Credentials | M.D. |
| Telephone Number | 8013873900 |
NPI Number Detail
| NPI Number | 1912111006 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 1652 Wildcat Ln # 1 |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844033236 |
| Phone Number | 8013932249 |
| Fax Number | 8013939909 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 498622472004 | UT | -- |
Post Comment/ Review Below
What is the Edward W. Berry Md Pc's 1912111006?
The Edward W. Berry Md Pc's NPI (National Provider Identifier) Number is 1912111006. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Edward W. Berry Md Pc is physically located?
The Edward W. Berry Md Pc is physically situated at the following address: 1652 Wildcat Ln # 1, Ogden, UT, 844033236.
What is Edward W. Berry Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edward W. Berry Md Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Edward W. Berry Md Pc receive its 1912111006 assignment from the Centers for Medicare & Medicaid Services?
The Edward W. Berry Md Pc was assigned its 1912111006 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information related to Edward W. Berry Md Pc most recently updated or refreshed?
The details pertaining to the Edward W. Berry Md Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-28.