Individual
JEFFERY THOMAS BERDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1450 5TH ST SE STE 4200, PUYALLUP, WA 98372-4604
(253) 459-7000
Mailing address
1450 5TH ST SE STE 4200, PUYALLUP, WA 98372-4604
(253) 459-7000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2006017911
MO
208100000X
Physical Medicine & Rehabilitation Physician
7651257-1204
UT
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP60570179
WA
Other
Enumeration date
07/05/2007
Last updated
07/28/2015
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