MOLLIE BERG

SHREVEPORT, LA
NPI1558666073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA200396)
Enumeration Date2011-01-13
Last Update Date2011-01-13
Business Address
Mrs. MOLLIE BERG PA-C
7045 YOUREE DR
SHREVEPORT, LA 71105-5108
Phone number: 318-798-3763
Mailing Address
Mrs. MOLLIE BERG PA-C
7045 YOUREE DR
SHREVEPORT, LA 71105-5108
Phone number: 318-798-3763
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