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MARY JEAN BERG MD
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1245372648
Individual Registrant:
MARY JEAN BERG MD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1100 CARSON AVE LA JUNTA, CO 81050-2751 US
Tel: 800-893-9698 Fax: --
Contact information for business:
200 CORPORATE BLVD SUITE 201 LAFAYETTE, LA 70508-3870 US
Tel: -- Fax: --
Registration Information:
NPI: 1245372648
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine
| CO | 17415 |
Legacy codes, insurance codes and state license numbers:
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