Individual
MR. GORDON JOHN BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 MONTWOOD LN, BREMERTON, WA 98312-1936
(360) 689-3101
Mailing address
2821 MONTWOOD LN, BREMERTON, WA 98312-1936
(360) 689-3101
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
03/19/2012
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