Individual
DEBORAH R BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 COMMERCE DR, STE B, WESTOVER, WV 26501-3952
(304) 241-1708
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0426158
KS
2084P0800X
Psychiatry Physician
Primary
27292
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185750A
—
KS
Enumeration date
01/06/2006
Last updated
01/20/2017
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