JACK L. BERG

SHREVEPORT, LA
NPI1639160021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  15000R)
Enumeration Date2005-11-03
Last Update Date2021-06-17
Business Address
JACK L. BERG MD
7813 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3830
Mailing Address
JACK L. BERG MD
7813 YOUREE DR
SHREVEPORT, LA 71105-5505
Phone number: 318-212-3830
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