institution
Randall P Bergen Dpm Pc
Podiatric Clinic/Center in Sioux City, Iowa
NPI 1285891432

Randall P Bergen Dpm Pc is a Podiatric Clinic/Center based in Sioux City, IA and is specialized in Podiatric. Randall P Bergen Dpm Pc practices in Sioux City, IA. The NPI Number for Randall P Bergen Dpm Pc is 1285891432 and holds a License No. (Iowa).

The current practice location address for Randall P Bergen Dpm Pc is 505 5Th St, Sioux City, IA and can be reached out via phone at 712-255-3526 and via fax at 712-255-0298. You can also correspond with Randall P Bergen Dpm Pc through the mailing address at 505 5TH ST, SIOUX CITY, IA - 51101-1500 (mailing address contact number: 712-255-3526).

Location: 505 5Th St, Sioux City, IA, 51101-1500
institution
Provider Profile Details
NPI Number
1285891432
Provider Name
Randall P Bergen Dpm Pc
Credential
Provider Entity Type
Organization
Address
505 5Th St, Sioux City, IA, 51101-1500
Phone Number
712-255-3526
Fax Number
712-255-0298
Provider Enumeration Date
05/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0091108 05 IA
480007118 01 IA RAILROAD MEDICARE
09110 01 IA WELLMARK BCBS
institution
Provider Business Practice Location Address Details
Address
505 5Th St
City
State
Zip
51101-1500
Phone Number
712-255-3526
Fax Number
712-255-0298
person
Provider Business Mailing Address Details
Address
505 5Th St
City
State
Zip
51101-1500
Phone Number
712-255-3526
Fax Number
712-255-0298
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
()
Definition
Definition to come...
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