Individual
DR. BARRY J BERGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-3267
(208) 962-2313
Mailing address
701 LEWISTON ST, COTTONWOOD, ID 83522-9750
(208) 962-3267
(208) 962-2313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M4883
ID
Other
Enumeration date
06/23/2005
Last updated
07/09/2007
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