GRANT WILSON BERRY M.D.
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1174815021- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2100 W SUNSET DR, RIVERTON, WY, 825012274
- Phone
- (307) 857-3445
Specialties & Taxonomies
Emergency Medicine
License: DC #MD043197
Emergency Medicine
License: TX #R5511
Emergency Medicine
Primary License: WY #10598A