Individual
DR. JOHN D BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 PLEASANT ST, STE 150, DES MOINES, IA 50309
(515) 244-5109
(515) 241-3505
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD-29631
IA
2085R0202X
Diagnostic Radiology Physician
MD-29631
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619960259
—
IA
Enumeration date
08/30/2005
Last updated
06/21/2018
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