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1538165592
BARRY J BERGEN
COTTONWOOD, ID
NPI
1538165592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: ID M4883)
Enumeration Date
2005-06-23
Last Update Date
2007-07-09
Business Address
Dr. BARRY J BERGEN MD
701 LEWISTON ST
COTTONWOOD, ID 83522-9750
Phone number: 208-962-3267
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Mailing Address
Dr. BARRY J BERGEN MD
701 LEWISTON ST
COTTONWOOD, ID 83522-9750
Phone number: 208-962-3267
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