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1891988242
ETHAN SCHUYLER BERGVALL
CHARLOTTESVILLE, VA
NPI
1891988242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207U00000X Nuclear Medicine
(Licence: VA 0101268271)
Enumeration Date
2007-08-20
Last Update Date
2023-08-08
Business Address
Dr. ETHAN SCHUYLER BERGVALL M.D.
1240 LEE ST
CHARLOTTESVILLE, VA 22908-0817
Phone number: 434-924-9333
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Mailing Address
Dr. ETHAN SCHUYLER BERGVALL M.D.
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: 434-295-1000
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