Individual
DR. STEPHEN ERIC BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1169 EASTERN PARKWAY, MEDICAL ARTS BUILDING STE 3412, LOUISVILLE, KY 40217
(502) 456-6001
Mailing address
MEDICAL TOWERS N BLDG 1169, STE 3412, LOUISVILLE, KY 40202-2026
(502) 456-6001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
19335
KY
208D00000X
General Practice Physician
Primary
19335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64193352
—
KY
Enumeration date
02/13/2008
Last updated
02/13/2008
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