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1336331065
DAVID N BERGTHOLD
OSAGE BEACH, MO
NPI
1336331065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MO 139652)
Enumeration Date
2007-08-16
Last Update Date
2012-12-07
Business Address
DAVID N BERGTHOLD MSN-ACNP
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-302-2287
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Mailing Address
DAVID N BERGTHOLD MSN-ACNP
PO BOX 1500
OSAGE BEACH, MO 65065-1500
Phone number:
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