Individual
EVA A BERARDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2030 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3178
(303) 709-9772
(303) 652-0468
Mailing address
PO BOX 614, NIWOT, CO 80544-0614
(303) 709-7792
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
25586
CO
Other
Enumeration date
10/05/2006
Last updated
01/23/2012
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