Individual provider · Type 1 NPI

Trae Jordan Bergh, PA-C

Surgical Physician Assistant · Dakota Dunes, SD

NPI number 1992286223 Active

Practice location

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312

Mailing address

3016 S Keyrell Dr
Sioux Falls, SD 57106-7304

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1156 (SD)

Surgical Physician Assistant: Definition to come...

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About NPI 1992286223

Trae Jordan Bergh, PA-C's National Provider Identifier is 1992286223, issued on Aug 24, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dakota Dunes, SD. The record was last updated on Feb 25, 2020.