Individual
NATHANIEL BENJAMIN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 GOVERNOR CARLOS CAMACHO ROAD, SUITE 210, TAMUNING, GU 96913
(671) 649-1001
(671) 649-1002
Mailing address
633 GOVERNOR CARLOS CAMACHO ROAD, SUITE 210, TAMUNING, GU 96913
(671) 649-1001
(671) 649-1002
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
M-1142
GU
2085R0202X
Diagnostic Radiology Physician
M-1142
GU
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M-1142
GU
208VP0014X
Interventional Pain Medicine Physician
M-1142
GU
Other
Enumeration date
05/10/2007
Last updated
12/09/2019
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