Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSSA BERG
Active Sole ProprietorELYSSA BERG is a Emergency Medicine healthcare provider located in FORT DEFIANCE, Arizona. NPI 1255745113 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1255745113
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2014 (12.137837679301 yrs)
- Last Updated
- May 24, 2019
- License
-
4301113504 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF ROUTE N12 AND N7FORT DEFIANCE, AZ, 86504Browse AZ providers · Browse ZIP 86504
- Phone
- 9287298600
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in FORT DEFIANCE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT A KELSO | M.D. | 1275529638 |
| FRANK P AMMESMAKI | MD | 1710978176 |
| STEPHEN C ALTMIN | MD | 1609849991 |
| GILBERT PALLEY | DO | 1427003508 |
| JAMES M VILLAREAL | MD | 1588684062 |
| JOHN ARTHUR GARSON | D.O. | 1568534287 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.