Organization
STEVEN J BERG ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J BERG CRNA (OWNER)
(208) 458-2409
Entity
Organization
Contact information
Practice address
360 E MALLARD DR STE 125, BOISE, ID 83706-3941
(208) 336-8700
Mailing address
PO BOX 3611, IDAHO FALLS, ID 83403-3611
(208) 525-2090
(208) 523-5897
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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