Organization
INTERMOUNTAIN FOOT & ANKLE ASSOC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY ELIZEBETH BERG D.P.M. (OWNER/PHYSICIAN)
(719) 594-9920
Entity
Organization
Contact information
Practice address
9348 GRAND CORDERA PKWY STE 210, COLORADO SPRINGS, CO 80924-7002
(719) 594-9920
(719) 598-6212
Mailing address
9348 GRAND CORDERA, PKWY 210, COLORADO SPRINGS, CO 80924-4062
(719) 594-9920
(719) 598-6212
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
517
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005180
—
CO
05
—
04532339
—
CO
01
—
CD1850
RAILROAD MEDICARE
CO
Enumeration date
12/04/2007
Last updated
07/21/2022
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