Individual
ROBERT BEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4821 N STONE AVE, TUCSON, AZ 85704-5727
(520) 409-4299
(520) 293-1957
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 977-4674
(562) 741-4479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18791
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689877
—
AZ
Enumeration date
10/26/2006
Last updated
08/30/2019
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