Individual
ROBERT A BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 W FOREST AVE STE 201, FLAGSTAFF, AZ 86001-1483
(928) 773-2222
(928) 773-2598
Mailing address
PO BOX 31210, FLAGSTAFF, AZ 86003-1210
(928) 773-2222
(928) 773-2598
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25665
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417926874
AETNA
AZ
05
—
853491
—
AZ
01
—
AZ0755200
BLUE CROSS BLUE SHIELD AZ
AZ
01
—
Z81338
MEDICARE
AZ
Enumeration date
03/16/2006
Last updated
10/12/2020
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