Lars Bergeson, M.d., PC
NPI #1982933750 in Providence, Utah
Provider Information
- NPI Number
- 1982933750
- Entity Type
- Organization
- Organization Name
- Lars Bergeson, M.d., PC
- Primary Specialty
- Point of Service
- Enumeration Date
- Dec 8, 2009
- Last Updated
- Dec 8, 2009
Practice Location
- Address
- 382 W 280 N
- 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 |
|---|
| Point of Service |
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