Organization
TRACY A BERG M.D., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY A BERG M.D., P.S. (OWNER/PRESIDENT)
(509) 344-3100
Entity
Organization
Contact information
Practice address
235 E ROWAN AVE, SUITE 204, SPOKANE, WA 99207-1240
(509) 344-3100
(509) 344-3104
Mailing address
235 E ROWAN AVE, SUITE 204, SPOKANE, WA 99207-1240
(509) 344-3100
(509) 344-3104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD000032615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123884
—
WA
Enumeration date
04/17/2007
Last updated
01/13/2012
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