Individual
HEATHER BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1075 N CURTIS RD STE 101, BOISE, ID 83706-1348
(208) 367-7463
(208) 367-7507
Mailing address
1075 N CURTIS RD STE 101, BOISE, ID 83706-1348
(208) 367-7463
(208) 367-7507
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141731
CST CERTIFICATION
ID
Enumeration date
12/13/2017
Last updated
12/13/2017
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