Most Relevant Information
Provider Data
| NPI Number: | 1003414830 |
| Provider Name: | LINDA L BERGDOLL |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2020 |
| Last Updated: | 10/14/2020 |
Provider Practice Location
12 MAPLE HILL AVE STE 1
PETERSBURG
WV
268471547
Practice Location Phone/Fax
| Phone: | 3042579298 |
| Fax: |
Provider Mailing Location
1131 DURGON RD
MOOREFIELD
WV
268368391
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |