Individual
DR. RONALD RAY BERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1112 N VAN BUREN AVE, OTTUMWA, IA 52501-6416
(641) 684-7744
Mailing address
1112 N VAN BUREN AVE, OTTUMWA, IA 52501-6416
(641) 684-7744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1304996
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14660
INDIVIDUAL PROVIDER #
IA
05
—
2776088
—
IA
01
—
421525352-01
INDIVIDUAL PROVIDER #
IA
01
—
43269
INDIVIDUAL PROVIDER #
IA
Enumeration date
09/14/2006
Last updated
12/21/2007
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