Elyssa Berg

NPI #1255745113 in Fort Defiance, Arizona

Provider Information

NPI Number
1255745113
Entity Type
Individual
Name
Elyssa Berg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Emergency Medicine
Enumeration Date
Jun 18, 2014
Last Updated
May 24, 2019

Practice Location

Address
CORNER OF ROUTE N12 AND N7
State
Arizona
ZIP Code
86504
Phone
(928) 729-8600

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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