Individual
DR. DANIEL RALPH BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-7631
Mailing address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-7631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002001981
MO
208M00000X
Hospitalist Physician
2002001981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202846804
—
MO
Enumeration date
07/03/2006
Last updated
01/18/2022
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