NPI 1255745113

Elyssa Berg

Practitioner Emergency Medicine Physician Fort Defiance, AZ

Practice location

Address: Corner of Route N12 and N7, Fort Defiance, AZ 86504
Phone: (928) 729-8600
Mailing address: PO Box 589, Fort Defiance, AZ 86504-0589

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 4301113504 (MI)

Other Emergency Medicine providers in Arizona →

Registry record

NPI: 1255745113
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2014
Record last updated: 24 May 2019

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.