Individual
MR. THOMAS OLAF BERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6800 VISTA DEL NORTE RD NE APT 921, ALBUQUERQUE, NM 87113-1374
(505) 730-9902
Mailing address
6800 VISTA DEL NORTE RD NE APT 921, ALBUQUERQUE, NM 87113-1374
(505) 730-9902
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R57502
NM
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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