NPI 1689938748 · live from the CMS NPI Registry
Levi J Berry, DPM
Podiatrist, Foot & Ankle Surgery in Spanish Fork, UT. National Provider Identifier 1689938748, active.
NPI record
| NPI | 1689938748 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 478 S Main St, Spanish Fork, UT 84660 |
| Practice phone | 801-609-4743 |
| Mailing address | 83 E 1200 N, Mapleton, UT 84664 |
| Enumerated | July 3, 2012 |
| Last updated | August 4, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 93570600501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.