Individual
DR. CAROL BERGQUIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5233
(432) 335-5240
Mailing address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 335-5233
(432) 335-5240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E6992
TX
Other
Enumeration date
11/22/2005
Last updated
07/09/2007
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