Individual
DR. PAUL EDWARD BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5171 S SEEWEEWANA CT, HARRISON, ID 83833-6051
(220) 877-1064
Mailing address
5171 S SEEWEEWANA CT, HARRISON, ID 83833-6051
(208) 771-0641
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M6950
ID
Other
Enumeration date
08/30/2006
Last updated
04/16/2015
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