Individual
CHRISTOPHER J BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2350 MIRACLE MILE # 600A, BULLHEAD CITY, AZ 86442-7505
(928) 758-9362
Mailing address
9097 W POST RD STE 100, LAS VEGAS, NV 89148-2417
(702) 430-5333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8338
AZ
363A00000X
Physician Assistant
PA00739
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1047012
NCCPA
NV
Enumeration date
04/06/2006
Last updated
12/30/2022
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