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1447380977
GRANT S BERGES
SHOW LOW, AZ
NPI
1447380977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ 36654)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- GRANT S BERGES MD
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7881
Phone number: 928-537-6338
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Mailing Address
-- GRANT S BERGES MD
PO BOX 548
COTTONWOOD, AZ 86326-0548
Phone number: 928-634-0665
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