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MARY A BERG MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1487724290
Individual Registrant: MARY A BERG MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1312 PRENTICE DRIVE HEALDSBURG, CA 95448 US
Tel: 707-433-3383 Fax: 707-433-7210
Tel: 707-433-3383 Fax: 707-433-7210
Contact information for business:
1312 PRENTICE DRIVE HEALDSBURG, CA 95448 US
Tel: 707-433-3383 Fax: 707-433-7210
Tel: 707-433-3383 Fax: 707-433-7210
Registration Information:
NPI: 1487724290
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | G61587 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
