Individual provider · NPI-1

D Duane Berry, DO

Family Medicine · South Charleston, WV

NPI number1730174145
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1730174145
Entity type
Individual (NPI-1)
Name
D Duane Berry
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Sep 13, 2005
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1349WVYes

Practice location

5220 Maccorkle Ave Sw
South Charleston, WV 25309-1010

Phone 304-720-6735 · Fax 304-720-6737

Mailing address

5220 Maccorkle Ave Sw
South Charleston, WV 25309-1010

Phone 304-720-6735 · Fax 304-720-6737

Other practice locations

5430 Maccorkle Ave Se
Charleston, WV 25304-2224

Phone 304-925-3627

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