Organization
BERGMAN COSMETIC SURGERY, PC
Active
Other names
Dr. Ronald S Bergman DO PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S BERGMAN DO (PRESIDENT CEO)
(515) 222-1111
Entity
Organization
Contact information
Practice address
2000 GRAND AVE, DES MOINES, IA 50312-4920
(515) 222-1111
(515) 244-9914
Mailing address
PO BOX 71602, CLIVE, IA 50325-0602
(515) 243-2057
(515) 244-5570
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
IA
363A00000X
Physician Assistant
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0422980
—
IA
Enumeration date
05/23/2006
Last updated
10/15/2020
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