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DR. DWIGHT ALAN BERGQUIST M.D.

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1053407544

Individual Registrant:
DR. DWIGHT ALAN BERGQUIST M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
5230 N. CLARK AVE. #10  LAKEWOOD, CA 90712 US
Tel: 562-804-4428  Fax: 562-867-5264

Contact information for business:
5230 N. CLARK AVE. #10  LAKEWOOD, CA 90712 US
Tel: 562-804-4428  Fax: 562-867-5264

Registration Information:
NPI: 1053407544
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
CAG38711

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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