CHARLES KENNETH BERGDOLT

FALLON, ZZ
NPI1194392241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: ID  O-1734)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AL  8288488)
Enumeration Date2021-06-08
Last Update Date2023-07-10
Business Address
Dr. CHARLES KENNETH BERGDOLT DO
4755 PASTURE RD
FALLON, ZZ
Phone number: 904-542-7300
Mailing Address
Dr. CHARLES KENNETH BERGDOLT DO
4755 PASTURE RD
FALLON, NV 89406-3491
Phone number: 334-224-8053