Sally M Berryman
Obstetrician
1600 N Grand Ave Suite 400
Pueblo
, Colorado 81003-2700
Sally M Berryman
Obstetrician
1600 N Grand Ave Suite 400
Pueblo
, Colorado 81003-2700
(719) 543-1041
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Sally M Berryman
- 1600 N Grand Ave Suite 400
- Pueblo, CO
- Zip : 81003-2700
- Fax : (719) 543-1041
- Phone : (719) 543-4000
Second Address
- Sally M Berryman
- 1600 N Grand Ave Suite 400
- Pueblo, CO
- Zip : 81003-2700
- Fax : (719) 543-1041
- Phone : (719) 543-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 28181 | CO |
National Provider Identifier
| NPI | 1124192141 |
|---|---|
| Provider Name | Sally M Berryman |
| First Address | Pueblo, CO 81003-2700 |
| Second Address | Pueblo, CO 81003-2700 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 77306732 | (05) | CO |
| G09180 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.