Dr DAVID N BERGTHOLD is a male medical professional, specializing in Nurse Practitioner. He graduated in 2009.
LAKE REGIONAL HEALTH SYSTEM
54 HOSPITAL DR
OSAGE BEACH
MO
650653050
Tel: 5733488045
| Npi | 1336331065 |
| Pac Id | 1850442450 |
| Professional Enrollment Id | I20090622000306 |
| Last Name | BERGTHOLD |
| First Name | DAVID |
| Middle Name | N |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | LAKE REGIONAL HEALTH SYSTEM |
| Group Practice Pac Id | 9133026776 |
| Number Of Group Practice Members | 59 |
| Line 1 Street Address | 54 HOSPITAL DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 650653050 |
| Phone Number | 5733488045 |
| Hospital Affiliation Ccn 1 | 260186 |
| Hospital Affiliation Lbn 1 | LAKE REGIONAL HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | 260065 |
| Hospital Affiliation Lbn 2 | MERCY HOSPITAL SPRINGFIELD |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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