Individual
RANDALL P. BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
505 5TH ST, SUITE 714, SIOUX CITY, IA 51101-1500
(712) 255-3526
(712) 255-0298
Mailing address
505 5TH ST STE 714, SIOUX CITY, IA 51101-1509
(712) 255-3526
(712) 255-0298
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00319
IA
Other
Enumeration date
02/17/2006
Last updated
05/14/2008
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