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Organization

SOUTHWEST INFECTIOUS DISEASES

Active
Other names
Southwest Infectious Diseases, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY K BERGER MD (MEDICAL BILLER)
(360) 297-8805
Entity
Organization

Contact information

Practice address
16259 SYLVESTER RD SW, SUITE 404, BURIEN, WA 98166-3049
(206) 243-3049
(206) 244-3991
Mailing address
16259 SYLVESTER RD SW, SUITE 404, BURIEN, WA 98166-3049
(206) 243-3049
(206) 244-3991

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
WA
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6181130001
NSC
WA
05
7132467
WA
01
DF3210
RR MEDICARE
WA
Enumeration date
05/12/2006
Last updated
08/18/2011
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