Individual
DR. NATHANIEL CARLTON BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2301 HOLMES STREET, KANSAS CITY, MO 64108
(816) 404-4175
(816) 404-0003
Mailing address
2301 HOLMES STREET, KANSAS CITY, MO 64108
(816) 404-4175
(816) 404-0003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
09/10/2012
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