Individual
DONALD R. BERGSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 750, NEW ORLEANS, LA 70115-6969
(504) 412-1210
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
06341R
LA
207W00000X
Ophthalmology Physician
R3119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1340413
—
LA
Enumeration date
07/20/2006
Last updated
10/23/2008
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