MR. Colin Oliver Bergeron, PA-C

NPI #1174083018 in Tulsa, Oklahoma

Provider Information

NPI Number: 1174083018
Entity Type: Individual
Name: MR. Colin Oliver Bergeron, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 6161 S YALE AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74136-1992
Phone: (918) 502-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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