MR. Rusty Bergman, D.O.

NPI #1649277500 in Roeland Park, Kansas

Provider Information

NPI Number: 1649277500
Entity Type: Individual
Name: MR. Rusty Bergman, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jul 6, 2005
Last Updated: Oct 16, 2024

Practice Location

Address: 5675 ROE BLVD
City: Roeland Park
State: Kansas
ZIP Code: 66205-2515
Phone: (913) 432-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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