JAMES R BERGERON M D A MED CORP

SHREVEPORT, LA
NPI1770645376
Entity TypeOrganization
Authorized ContactJAMES R BERGERON
President
318-221-2623
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: LA  009227)
Enumeration Date2006-12-14
Last Update Date2020-08-22
Business Address
JAMES R BERGERON M D A MED CORP
2751 ALBERT L BICKNELL DR SUITE 2-D
SHREVEPORT, LA 71103-3920
Phone number: 318-221-2623
Mailing Address
JAMES R BERGERON M D A MED CORP
2751 ALBERT BICKNELL DRIVE SUITE 2-D
SHREVEPORT, LA 71103
Phone number: 318-221-2623