Most Relevant Information
Provider Data
| NPI Number: | 1003819749 |
| Provider Name: | BERGE JACK DADOURIAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | 5819 |
Most Important Dates
| Enumeration Date: | 05/26/2005 |
| Last Updated: | 07/18/2023 |
Provider Practice Location
400 S RAMPART BLVD
SUITE 240
LAS VEGAS
NV
891455721
Practice Location Phone/Fax
| Phone: | 7029061100 |
| Fax: | 7029061110 |
Provider Mailing Location
400 S RAMPART BLVD
SUITE 240
LAS VEGAS
NV
891455721
Provider Mailing Phone/Fax
| Phone: | 7029061100 |
| Fax: | 7029061110 |
Suggested EMR
Internist EMR