NPI 1093703605 · live from the CMS NPI Registry
Paul J Berggreen, M.D.
Internal Medicine, Gastroenterology in Phoenix, AZ. National Provider Identifier 1093703605, active.
NPI record
| NPI | 1093703605 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1300 N 12th St, #613, Phoenix, AZ 85006 |
| Practice phone | 602-254-5321 |
| Mailing address | 3020 E Camelback Rd, Suite 301, Phoenix, AZ 85016 |
| Enumerated | October 7, 2005 |
| Last updated | February 16, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 21349 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.