Organization
DONALD D BERG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD D BERG MD (PRESIDENT)
(641) 682-5443
Entity
Organization
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 212, OTTUMWA, IA 52501-6413
(641) 682-5443
(641) 682-6859
Mailing address
1005 PENNSYLVANIA AVE, SUITE 212, OTTUMWA, IA 52501-6413
(641) 682-5443
(641) 682-6859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122879
—
IA
01
—
71449
BCBS GROUP PIN
IA
Enumeration date
10/18/2006
Last updated
09/09/2008
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