Jeffery Thomas Berdan D.O.

NPI 1629276308 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1629276308
Gender Male
Enumeration Date 07/05/2007
Last Updated 07/28/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1450 5TH ST SE STE 4200
PUYALLUP WA, 98372-4604, US
Phone (253) 459-7000
Fax
Business Location
1450 5TH ST SE STE 4200
PUYALLUP WA, 98372-4604, US
Phone (253) 459-7000
Fax (801) 584-5664
Toxanomy
Taxonomy Code 208100000X
License State Missouri
License Number 2006017911
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According to our database, Dr. Jeffery Thomas Berdan D.O. NPI is 1629276308, taxonomy code is 208100000X and license number is 2006017911, license state is located at Missouri. Jeffery Thomas Berdan D.O. physically located at 1450 5th St Se Ste 4200, Puyallup WA, 98372-4604. NPI Number Jeffery Thomas Berdan D.O. has the Individual type.

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1629276308 NPI number is provided on an as is basis without warranty of any kind. 1629276308 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffery Thomas Berdan D.O. are for informational purposes only.