Individual
DR. RONALD RAY BERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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