Individual
WILLIAM G BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 571-9599
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(520) 571-9599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29957
AZ
2085R0202X
Diagnostic Radiology Physician
46267
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21135355
—
CO
05
—
646515
—
AZ
01
—
P00472013
RAILROAD MEDICARE
CO
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
08/11/2006
Last updated
10/06/2022
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