Doctor Name: | DR. CAY E BERG |
NPI Number: | 1174609648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | M-8652 |
Business Practice Address: | 4701 S Wackerli Ave Ammon, ID - 834068154 |
Business Phone Number: | 2085421963 |
Business Fax Number: | |
Mailing Address: | 4701 S Wackerli Ave, AMMON |
State: | ID |
Postal Code: | 834068154 |
Phone Number: | 2085421963 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | M-8652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |