DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY ALLICE BERGER MD

MEDICARE: MARY ALLICE BERGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician22448AZ

General Provider Information

NPI Number : 1356333165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ALLICE BERGER MD
Provider Business Mailing Address
First Line : 77 W FOREST AVE
Second Line : SUITE 304
City : FLAGSTAFF
State : AZ
Zip : 86001-1479
Country : US
Telephone Number : 928-214-3600
Fax Number : 928-214-3601
Provider Business Practice Location Address
First Line : 77 W FOREST AVE
Second Line : SUITE 304
City : FLAGSTAFF
State : AZ
Zip : 86001-1479
Country : US
Telephone Number : 928-214-3600
Fax Number : 928-214-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1316995699 — PETER MATHERN M.D.
Practice Location Address:
77 W FOREST AVE
FLAGSTAFF, AZ
86001-1479
Practice Phone: 928-635-7307
Practice Fax: 928-774-3844
1093707804 — LEE B MCGAREY MD
Practice Location Address:
77 W FOREST AVE , SUITE 304
FLAGSTAFF, AZ
86001-1479
Practice Phone: 928-214-3600
Practice Fax: 928-214-3601
1184616997 — RON L TUCKMAN MD
Practice Location Address:
77 W FOREST AVE , SUITE 304
FLAGSTAFF, AZ
86001-1479
Practice Phone: 928-214-3600
Practice Fax: 928-214-3601
1629060439 — SHEILA M MACKELL MD
Practice Location Address:
77 W FOREST AVE , SUITE 304
FLAGSTAFF, AZ
86001-1479
Practice Phone: 928-214-3600
Practice Fax: 928-214-3601
1912999582 — PAULA D RAND MD
Practice Location Address:
77 W FOREST AVE , SUITE 304
FLAGSTAFF, AZ
86001-1479
Practice Phone: 928-214-3600
Practice Fax: 928-214-3601
1932191509 — LAURIE K BROWN MD
Practice Location Address:
77 W FOREST AVE , SUITE 304
FLAGSTAFF, AZ
86001-1479
Practice Phone: 928-214-3600
Practice Fax: 928-214-3601

Directions to “ MARY ALLICE BERGER MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.