Individual
TRACY A BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16201 E INDIANA AVE, STE 3100, SPOKANE VALLEY, WA 99216-2830
(509) 891-8904
(509) 344-3104
Mailing address
16201 E INDIANA AVE, STE 3100, SPOKANE VALLEY, WA 99216-2830
(509) 891-8904
(509) 344-3104
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00032615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123884
—
WA
Enumeration date
10/03/2006
Last updated
12/02/2016
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