Individual
DUSTIN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
8201 RASPBERRY DR, FREDERICK, CO 80504-6772
(303) 905-0449
Mailing address
8201 RASPBERRY DR, FREDERICK, CO 80504-6772
(303) 905-0449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0177734
CO
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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