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MARY A BERG MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1487724290

Individual Registrant:
 MARY A BERG MD
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

Contact information for business:
1312 PRENTICE DRIVE  HEALDSBURG, CA 95448 US
Tel: 707-433-3383  Fax: 707-433-7210

Registration Information:
NPI: 1487724290
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG61587

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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