Randall P Bergen Dpm PC
NPI #1285891432 in Sioux City, Iowa
Provider Information
- NPI Number
- 1285891432
- Entity Type
- Organization
- Organization Name
- Randall P Bergen Dpm PC
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- May 16, 2008
- Last Updated
- May 16, 2008
Practice Location
- Address
- 505 5TH ST
- Address 2
- SUITE 714
- City
- Sioux City
- State
- Iowa
- ZIP Code
- 51101-1500
- Phone
- (712) 255-3526
Authorized Official
- Name
- RANDALL PAUL BERGEN, DPM
- Title
- PRESIDENT PHYSICIAN
- Phone
- (712) 255-3526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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