Organization
BERGS FOOT COMFORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JACK BERG (OWNER)
(509) 483-2283
Entity
Organization
Contact information
Practice address
2925 N NEVADA ST, SPOKANE, WA 99207-2761
(509) 483-2283
Mailing address
2925 N NEVADA ST, SPOKANE, WA 99207-2761
(509) 483-2283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BE2142
ASURIS
WA
01
—
BERGS2102921029
PREMERA
WA
Enumeration date
09/19/2007
Last updated
05/01/2008
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