Individual
DR. RICHARD A BERGSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6601
(913) 684-6612
Mailing address
550 POPE AVE, FT. LAVENWORTH, KS 66027
(913) 684-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0522098
KS
Other
Enumeration date
11/02/2005
Last updated
11/07/2024
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