Individual
ROBERT ANTHONY BERGAMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5600
Mailing address
2464 TAYLOR RD # 113, WILDWOOD, MO 63040-1222
(314) 706-6377
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9614
MO
2080P0207X
Pediatric Hematology & Oncology Physician
R9614
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202251805
—
MO
Enumeration date
03/24/2006
Last updated
04/03/2023
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