Individual
COLLEEN JOAN BERGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB
Contact information
Practice address
601 E FRONT AVE, SUITE 601, COEUR D ALENE, ID 83814-2701
(866) 400-4295
(208) 763-3644
Mailing address
601 E FRONT AVE, SUITE 601, COEUR D ALENE, ID 83814-2701
(866) 400-4295
(208) 763-3644
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-10781
ID
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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