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Individual

RICHARD CHRISTOPHER BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
12166 OAKVIEW WAY, SAN DIEGO, CA 92128-5299
(858) 663-1222
Mailing address
VAQ-141 UNIT 100141, FPO, AP 96601

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E116639
CA
2255A2300X
Athletic Trainer
Primary
2000029569
CA

Other

Enumeration date
07/28/2016
Last updated
12/29/2022
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