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1629070693
BRENT D BERGEN
SPRINGFIELD, MO
NPI
1629070693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MO 2007001545)
Enumeration Date
2005-08-10
Last Update Date
2018-12-27
Business Address
BRENT D BERGEN MD
3800 S NATIONAL AVE STE 510
SPRINGFIELD, MO 65807-5284
Phone number: 417-875-3160
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Mailing Address
BRENT D BERGEN MD
PO BOX 9007
SPRINGFIELD, MO 65808-9007
Phone number: 417-875-3462
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