DEANE BERGSRUD

ALEXANDRIA, VA
NPI1124234455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110000120)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
Mr. DEANE BERGSRUD P.A.
4660 KENMORE AVE SUITE 900
ALEXANDRIA, VA 22304-1313
Phone number: 703-212-0700
Mailing Address
Mr. DEANE BERGSRUD P.A.
4660 KENMORE AVE SUITE 900
ALEXANDRIA, VA 22304-1313
Phone number: 703-212-0700
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