Organization
BENRUS SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J BERGMANN MD (PRESIDENT)
(636) 441-2122
Entity
Organization
Contact information
Practice address
6 JUNGERMANN CIR, SUITE 205, SAINT PETERS, MO 63376-1625
(636) 441-2122
(636) 441-5290
Mailing address
6 JUNGERMANN CIR, SUITE 205, SAINT PETERS, MO 63376-1625
(636) 441-2122
(636) 441-5290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501880801
—
MO
Enumeration date
08/20/2006
Last updated
07/31/2015
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