Individual
SHARI D. BERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12428 W THUNDERBIRD RD, EL MIRAGE, AZ 85335-3113
(623) 344-6500
(623) 344-6501
Mailing address
40133 N LYTHAM WAY, ANTHEM, AZ 85086-2926
(913) 894-6500
(913) 894-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-20392
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120002133
MEDICARE RAILROAD PIN
KS
01
—
CD6440
MEDICARE RAILROAD GRP #
KS
Enumeration date
04/13/2006
Last updated
03/10/2017
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