ELYSSA BERG
Emergency Medicine
Active
Individual
NPI: 1255745113
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | Yes | 4301113504 (MI) |
Frequently Asked Questions
NPI 1255745113 is the National Provider Identifier for ELYSSA BERG, a Emergency Medicine provider located in Fort Defiance, AZ. This NPI was enumerated on June 18, 2014.
ELYSSA BERG practices at CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504.
Quick Facts
- NPI
- 1255745113
- Type
- Individual
- Enumerated
- Jun 18, 2014
- Last Updated
- May 24, 2019
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