Individual
DR. BRIAN WILLIAM BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107-5701
(801) 507-7000
Mailing address
5217 S STATE ST STE 200, MURRAY, UT 84107-4812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT213910
PA
2085R0202X
Diagnostic Radiology Physician
Primary
13154894-1205
UT
Other
Enumeration date
06/08/2017
Last updated
01/30/2023
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