Judson J Bergan, OD

NPI #1710976378 in Madison, South Dakota

Provider Information

NPI Number: 1710976378
Entity Type: Individual
Name: Judson J Bergan, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 17, 2005
Last Updated: Oct 22, 2012

Practice Location

Address: 411 SE 10TH ST
City: Madison
State: South Dakota
ZIP Code: 57042-0058
Phone: (605) 256-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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