Individual
MATTHEW R BERKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2800
(520) 874-6863
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
223782
MA
207P00000X
Emergency Medicine Physician
Primary
36929
AZ
207P00000X
Emergency Medicine Physician
M3910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187160001
—
TX
05
—
187160002
—
TX
05
—
230825
—
AZ
01
—
P00467060
RAILROAD MEDICARE
AZ
Enumeration date
07/10/2006
Last updated
06/13/2008
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