City Of Berkeley

Specialty details in registry · Berkeley, MO

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At a glance

8401 Airport Rd, Berkeley, MO 63134-1909

NPPES record updated Mar 24, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

8401 Airport Rd
Berkeley, MO 63134-1909
Professional details: NPI, taxonomy & registry record
NPI1861078297
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3416L0300X
Enumeration date
Mar 24, 2021
Record updated
Mar 24, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3416L0300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

8401 Airport Rd
Berkeley, MO 63134-1909
Phone
(314) 524-3566
Mailing address
8401 AIRPORT RD

BERKELEY, MO 631341909
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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