DR. ETHAN BERG, DO
Family Medicine
Active
Individual
NPI: 1831629401
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 125071205 (IL) |
Frequently Asked Questions
NPI 1831629401 is the National Provider Identifier for DR. ETHAN BERG, DO, a Family Medicine provider located in Springfield, IL. This NPI was enumerated on June 15, 2017.
DR. ETHAN BERG, DO practices at 520 N 4TH ST, Springfield, IL 62702.
Quick Facts
- NPI
- 1831629401
- Type
- Individual
- Enumerated
- Jun 15, 2017
- Last Updated
- Jun 15, 2017
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