Individual
DR. RUSSELL R. BERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
13835 N TATUM BLVD, SUITE 3, PHOENIX, AZ 85032-5581
(602) 953-1900
Mailing address
13835 N TATUM BLVD, SUITE 3, PHOENIX, AZ 85032-5581
(602) 953-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1080
AZ
111NS0005X
Sports Physician Chiropractor
1080
AZ
Other
Enumeration date
06/21/2006
Last updated
09/11/2025
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