Individual
MRS. ELIZABETH ANN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2275 CHANNING WAY, IDAHO FALLS, ID 83404-8012
(208) 900-3434
(208) 701-6272
Mailing address
6345 E TOWER CASTLE LOOP, AMMON, ID 83406-4930
(571) 213-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60595
ID
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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