Charles Lee Berg

NPI #1306173745 in Miami, Oklahoma

Provider Information

NPI Number
1306173745
Entity Type
Individual
Name
Charles Lee Berg
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Nov 5, 2009
Last Updated
Nov 5, 2009

Practice Location

Address
130 W STEVE OWENS BLVD
City
Miami
ZIP Code
74354-7629
Phone
(918) 542-2845

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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