NPI 1861466583

Randall P. Bergen, DPM

Practitioner Podiatrist Sioux City, IA

Practice location

Address: 505 5th St Suite 714, Sioux City, IA 51101-1500
Phone: (712) 255-3526
Fax: (712) 255-0298
Mailing address: 505 5th St STE 714, Sioux City, IA 51101-1509

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 00319 (IA)

Other Podiatrist providers in Iowa →

Registry record

NPI: 1861466583
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2006
Record last updated: 14 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.