Individual
DR. WILLIAM S BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 S EUCLID AVENUE, DEPARTMENT OF SURGICAL CRITICAL CARE, BOX 8109, SAINT LOUIS, MO 63110-1010
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
034109
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00459313A
—
GA
Enumeration date
09/25/2006
Last updated
07/20/2017
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