Organization
RYAN K BERGESON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN K BERGESON M.D. (PRESIDENT)
(512) 863-4563
Entity
Organization
Contact information
Practice address
1904 RAILROAD ST, GEORGETOWN, TX 78626-7718
(512) 863-4563
(512) 869-5899
Mailing address
1904 RAILROAD ST, GEORGETOWN, TX 78626-7718
(512) 863-4563
(512) 869-5899
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
537055
TX
Other
Enumeration date
05/05/2009
Last updated
12/07/2009
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