Provider Demographics
NPI:1598250334
Name:BERGLOFF, ANDREW MURRAY II (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MURRAY
Last Name:BERGLOFF
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:208-381-8752
Mailing Address - Fax:
Practice Address - Street 1:520 S EAGLE RD STE 3209
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-6356
Practice Address - Country:US
Practice Address - Phone:208-706-3220
Practice Address - Fax:208-706-3221
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2024-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5151014177207V00000X
IDO-1963207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology