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Individual

DR. REGAN BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A113575
CA
2086S0102X
Surgical Critical Care Physician
A 113575
CA
2086S0102X
Surgical Critical Care Physician
MD2020-1085
NM
2086S0127X
Trauma Surgery Physician
MD2020-1085
NM

Other

Enumeration date
08/10/2010
Last updated
10/25/2024
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