person
Paul S. Berry, MD
General Practice Physician in Patterson, California
NPI 1740270891

Paul S. Berry is a General Practice Physician based in Patterson, CA. Paul S. Berry practices in Patterson, CA and has the professional credentials of MD. The NPI Number for Paul S. Berry is 1740270891 and holds a License No. G72073 (California).

The current practice location address for Paul S. Berry is 1108 Ward Ave, Patterson, CA and can be reached out via phone at 510-541-8784 and via fax at 209-892-9102.

Location: 1108 Ward Ave, Patterson, CA, 95363-2301
person
Provider Profile Details
NPI Number
1740270891
Provider Name
Paul S. Berry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1108 Ward Ave, Patterson, CA, 95363-2301
Phone Number
510-541-8784
Fax Number
209-892-9102
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G72073 01 CA STAE LICENSE PHYSICIAN
00G720730 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
1108 Ward Ave
City
State
Zip
95363-8529
Phone Number
510-541-8784
Fax Number
209-892-9102
person
Provider Business Mailing Address Details
Address
1108 Ward Ave
City
State
Zip
95363-8529
Phone Number
510-541-8784
Fax Number
209-892-9102
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G72073 (California)
Definition
Definition to come...
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