Individual
DR. EAMON M BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47443
CO
207RX0202X
Medical Oncology Physician
Primary
47443
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-1926
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026491
KAISER COMMERCIAL NUMBER
CO
05
—
89975057
—
CO
Enumeration date
01/26/2007
Last updated
06/19/2021
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