NPI | 1689629503 |
---|---|
Former Legal Business Name | DR. RONALD S BERGMAN DO PC |
Entity Type | Organization |
Authorized Contact | RONALD S BERGMAN President CEO 515-222-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-05-23 |
Last Update Date | 2020-10-15 |