Individual
MARK W BERGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1178 KINOOLE ST, BUILDING B, HILO, HI 96720-7206
(808) 934-3214
(808) 961-4909
Mailing address
1178 KINOOLE ST, BUILDING B, HILO, HI 96720-7206
(808) 934-3214
(808) 961-4909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-64478
HI
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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