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Dr. Carmen Renee Bergom, MD
Radiation Oncology Physician in Florissant, Missouri
NPI 1932363553

Carmen Renee Bergom is a Radiation Oncology Physician based in Saint Louis, MO and is specialized in Radiation Oncology. Carmen Renee Bergom practices in Florissant, MO and has the professional credentials of MD. The NPI Number for Carmen Renee Bergom is 1932363553 and holds a License No. 2020031317 (Missouri).

The current practice location address for Carmen Renee Bergom is 1255 Graham Rd, Florissant, MO and can be reached out via phone at 314-820-6751 and via fax at 314-820-6752.

Location: 1255 Graham Rd, Florissant, MO, 63160-0352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932363553
Provider Name
Carmen Renee Bergom
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1255 Graham Rd, Florissant, MO, 63160-0352
Phone Number
314-820-6751
Fax Number
314-820-6752
Provider Enumeration Date
07/13/2008
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200089105 05 MO
institution
Provider Business Practice Location Address Details
Address
1255 Graham Rd
City
Florissant
State
Missouri
Zip
63031-8014
Phone Number
314-820-6751
Fax Number
314-820-6752
person
Provider Business Mailing Address Details
Address
1255 Graham Rd
City
Florissant
State
Missouri
Zip
63031-8014
Phone Number
314-820-6751
Fax Number
314-820-6752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
2020031317 (Missouri)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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