Individual provider · NPI-1

Paula D Berg, CNP

Family Medicine · Rapid City, SD

NPI number1316913528
StatusActive
Last updated in NPPESMar 13, 2009

Details

NPI
1316913528
Entity type
Individual (NPI-1)
Name
Mrs. Paula D Berg
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2006
Last updated
Mar 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR016377SDYes

Practice location

703 Quincy St
Suite 1
Rapid City, SD 57701-3631

Phone 605-716-6656 · Fax 605-716-6623

Mailing address

703 Quincy St
Suite 1
Rapid City, SD 57701-3631

Phone 605-716-6656 · Fax 605-716-6623

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