Individual
MR. JOHN ANTON BERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5417 42ND AVE SW, SEATTLE, WA 98136-1508
(206) 932-6615
Mailing address
5417 42ND AVE SW, SEATTLE, WA 98136-1508
(206) 932-6615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P09437
WA
Other
Enumeration date
12/12/2005
Last updated
07/08/2007
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