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Laurie D Berdahl, MD
Specialist in Greeley, Colorado
NPI 1194710392

Laurie D Berdahl is a Specialist based in Greeley, CO. Laurie D Berdahl practices in Greeley, CO and has the professional credentials of MD. The NPI Number for Laurie D Berdahl is 1194710392 and holds a License No. 35412 (Colorado).

The current practice location address for Laurie D Berdahl is 2410 W 16Th St, Greeley, CO and can be reached out via phone at 970-352-6353 and via fax at 970-356-2264.

Location: 2410 W 16Th St, Greeley, CO, 80634-6004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194710392
Provider Name
Laurie D Berdahl
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2410 W 16Th St, Greeley, CO, 80634-6004
Phone Number
970-352-6353
Fax Number
970-356-2264
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10381125 01 CO CAQH
840592369006 01 CO ROCKY MTN HEALTH
BE41887 01 CO BCBS
84059236906 01 CO PACIFICARE
01354125 05 CO
institution
Provider Business Practice Location Address Details
Address
2410 W 16Th St
City
Greeley
State
Colorado
Zip
80634-6004
Phone Number
970-352-6353
Fax Number
970-356-2264
person
Provider Business Mailing Address Details
Address
2410 W 16Th St
City
Greeley
State
Colorado
Zip
80634-6004
Phone Number
970-352-6353
Fax Number
970-356-2264
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35412 (Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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