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Contact Information

MAX W BERRY, MD
3650 PIPER STREET, STE A
ANCHORAGE, AK99508
 Phone: 907-339-9455
 Fax: 907-339-9445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MAX W BERRY · (Male)

NPI Number 1578763355
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2007
Last updated 08/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 31693
  • SC License # 30970
  • TX License # Q9958
  • WA License # MD60343987
  • WA Other 314118 L&I POST 7/21/13
  • WA Other P01287745 RR MEDICARE
Hospital affiliation(s)
  • PROVIDENCE ALASKA MEDICAL CENTER - (Acute Care)
    BOX 196604
    ANCHORAGE, AK 99508
  • PROVIDENCE KODIAK ISLAND MEDICAL CTR - (Critical Access)
    1915 EAST REZANOF DRIVE
    KODIAK, AK 99615
  • PROVIDENCE SEWARD HOSPITAL - (Critical Access)
    417 FIRST AVENUE, PO BOX 365
    SEWARD, AK 99664
  • PROVIDENCE VALDEZ MEDICAL CENTER - (Critical Access)
    PO BOX 550
    VALDEZ, AK 99686
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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