DR. Ma Theresa L. Vanden Berg, M.D.
NPI #1952591711 in Longview, Washington
Provider Information
- NPI Number
- 1952591711
- Entity Type
- Individual
- Name
- DR. Ma Theresa L. Vanden Berg, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- 1718 E KESSLER BLVD
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-1842
- Phone
- (360) 747-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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