Individual provider · Type 1 NPI

Phillip C. Berg

Military Health Care Provider · Mobile, AL

NPI number 1003955675 Active

Practice location

8501 Tanner Williams Rd
Mobile, AL 36608-8322

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1003955675

Phillip C. Berg's National Provider Identifier is 1003955675, issued on Feb 6, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Mobile, AL. The record was last updated on Jul 8, 2007.