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Organization

SUNSHINE WHOLISTIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL ANTHONY BERGER MD (OWNER)
(303) 449-3100
Entity
Organization

Contact information

Practice address
805 S BROADWAY ST, SUITE 103, BOULDER, CO 80305-5971
(303) 449-3100
Mailing address
805 S BROADWAY ST, SUITE 103, BOULDER, CO 80305-5971
(303) 449-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35393
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M0728
MAIN MEDICARE #
Enumeration date
12/19/2007
Last updated
01/09/2008
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