Individual
HEIDI BERGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2500 30TH ST STE 201, BOULDER, CO 80301-1238
(907) 947-3285
Mailing address
4482 GREENBRIAR BLVD, BOULDER, CO 80305-7072
(907) 947-3285
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0002675
CO
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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