Organization
RONALD W BERG DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD W BERG SR. DC (CEO)
(505) 863-9554
Entity
Organization
Contact information
Practice address
122 S BOARDMAN DR, GALLUP, NM 87301
(505) 863-9554
(505) 863-9555
Mailing address
122 S BOARDMAN DR, GALLUP, NM 87301
(505) 863-9554
(505) 863-9555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
943
NM
Other
Enumeration date
12/14/2006
Last updated
10/08/2008
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