NPI 1023179801

Michael S Berg, CRNA

Practitioner Certified Registered Nurse Anesthetist Roswell, NM

Practice location

Address: 405 W Country Club Rd, Roswell, NM 88201-5209
Phone: (505) 622-8170
Fax: (505) 624-8711
Mailing address: 209 Tierra Berrenda Dr, Roswell, NM 88201-7869

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R59727 (NM)

Other Nurse Anesthetist, Certified Registered providers in New Mexico →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4961614-4406 (UT)

Registry record

NPI: 1023179801
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.