Individual
DREW HAROLD BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, OEC
Contact information
Practice address
42 AVALANCHE CIR, DILLON, CO 80435-7643
(516) 732-0256
Mailing address
42 AVALANCHE CIR, DILLON, CO 80435-7643
(516) 732-0256
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT.0001208
CO
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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