Lars Bergeson, Md, PC
NPI #1336335884 in Providence, Utah
Provider Information
- NPI Number
- 1336335884
- Entity Type
- Organization
- Organization Name
- Lars Bergeson, Md, PC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Feb 1, 2010
Practice Location
- Address
- 382 N 280 W
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-0609
- Phone
- (435) 752-0330
Authorized Official
- Name
- DR. LARS BERGESON, M.D.
- Title
- OWNER
- Phone
- (435) 752-0330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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