Individual
RICHARD E BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00014938
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230743
L&I
WA
01
—
0809
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
1063597896
—
WA
Enumeration date
10/27/2006
Last updated
01/13/2012
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