Tracy A Berg in Spokane Valley - Vascular Surgery
Tracy A Berg - NPI 1376637421
Tracy A Berg is a Vascular Surgery in Spokane Valley, Washington. Tracy A Berg practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Tracy A Berg is 1376637421. The last update date is 2016-12-02.
Tracy A Berg's current location address is 16201 E Indiana Ave, Spokane Valley, Washington. You can contact this provider via phone number 5098918904 and fax number 5093443104. The mailing address for Tracy A Berg is 16201 E Indiana Ave, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy A Berg |
|---|---|
| Address | 16201 E Indiana Ave, Spokane Valley, Washington |
| Phone Number | 5098918904 |
| Fax Number | 5093443104 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376637421 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2016-12-02 |
Provider Mailing Address Detail
| Address | 16201 E Indiana Ave |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992162830 |
| Phone Number | 5098918904 |
| Fax Number | 5093443104 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD00032615 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1123884 | WA | -- |
Post Comment/ Review Below
What is the Tracy A Berg's 1376637421?
The Tracy A Berg's NPI (National Provider Identifier) Number is 1376637421. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracy A Berg located?
The Tracy A Berg is located at 16201 E Indiana Ave, Spokane Valley, WA 992162830.
What is the Tracy A Berg's specialty and taxonomy code?
The Tracy A Berg's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date did Tracy A Berg receive its 1376637421 assignment from the Centers for Medicare & Medicaid Services?
The Tracy A Berg was assigned its 1376637421 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Tracy A Berg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy A Berg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-12-02.
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