Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE J BERGSTROM, M.D.
ActiveDR. THEODORE J BERGSTROM, M.D. is a Pediatrics healthcare provider located in WALLA WALLA, Washington. NPI 1598739716 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WALLA WALLA, WA
Registration Details
- NPI Number
- 1598739716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2006 (20.505465957911 yrs)
- Last Updated
- Nov 27, 2007
- License
-
MD00022923 (WA)
Practice Information
- Address
-
55 W TIETAN STWALLA WALLA, WA, 993624445Browse WA providers · Browse ZIP 99362
- Phone
- 5095253720
- Fax
- 5095221578
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH EDWARD WREN | MD | 1699750869 |
| DONALD K ASHLEY | MD | 1104801372 |
| DR. SHIRLEY H ASHLEY | MD | 1922083195 |
| CALVIN J RICK | MD | 1568447738 |
| DR. CHRISTOPHER P HALL | M.D. | 1508830738 |
| DR. ALISON E KIRBY | M.D. | 1447224571 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.