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Dr. Theodore J Bergstrom, MD
Pediatrics Physician in Walla Walla, Washington
NPI 1598739716

Theodore J Bergstrom is a Pediatrics Physician based in Walla Walla, WA. Theodore J Bergstrom practices in Walla Walla, WA and has the professional credentials of MD. The NPI Number for Theodore J Bergstrom is 1598739716 and holds a License No. MD00022923 (Washington).

The current practice location address for Theodore J Bergstrom is 55 W Tietan St, Walla Walla, WA and can be reached out via phone at 509-525-3720 and via fax at 509-522-1578.

Location: 55 W Tietan St, Walla Walla, WA, 99362-4445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598739716
Provider Name
Theodore J Bergstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 W Tietan St, Walla Walla, WA, 99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1578
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007525 05 WA
10041910 01 WA RAIL ROAD MEDICARE
152421 05 OR
40225 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
55 W Tietan St
City
Walla Walla
State
Washington
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1578
person
Provider Business Mailing Address Details
Address
55 W Tietan St
City
Walla Walla
State
Washington
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1578
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD00022923 (Washington)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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