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Individual

DR. PETER BERGENSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
19710 E BUCKEYE AVE, OTIS ORCHARDS, WA 99027-9533
(509) 994-0947
Mailing address
19710 E BUCKEYE AVE, OTIS ORCHARDS, WA 99027-9533
(509) 994-0947

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00001767
WA

Other

Enumeration date
01/16/2014
Last updated
01/16/2014
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