Individual
STEVEN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
520 S EAGLE RD, SUITE 3104, MERIDIAN, ID 83642-6308
(208) 373-1200
Mailing address
PO BOX 2203, IDAHO FALLS, ID 83403-2203
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-18880
ID
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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