Individual
JAMES RAY BERGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 VICTORY AVE, UNIT 2404, DALLAS, TX 75219-7675
(802) 598-3486
Mailing address
2200 VICTORY AVE, UNIT 2404, DALLAS, TX 75219-7675
(802) 598-3486
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
042-0007035
VT
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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