Individual
EDWARD CARL BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-3278
(337) 494-3240
Mailing address
PO BOX 122152, DEPT 2152, DALLAS, TX 75312-2152
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
DO000438
LA
Other
Enumeration date
02/07/2006
Last updated
03/25/2022
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