Phyllis Ann Bergeron in Denver - Plastic Surgery Within The Head & Neck
Phyllis Ann Bergeron - NPI 1407990120
Phyllis Ann Bergeron is a Plastic Surgery Within The Head & Neck in Denver, Colorado. Phyllis Ann Bergeron practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Phyllis Ann Bergeron is 1407990120. The last update date is 2020-02-24.
Phyllis Ann Bergeron's current location address is 1375 E 19th Ave, Denver, Colorado. You can contact this provider via phone number 3038123600 and fax number 3038124223. The mailing address for Phyllis Ann Bergeron is 1375 E 19th Ave, Denver, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Ann Bergeron |
|---|---|
| Address | 1375 E 19th Ave, Denver, Colorado |
| Phone Number | 3038123600 |
| Fax Number | 3038124223 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407990120 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2020-02-24 |
Provider Mailing Address Detail
| Address | 1375 E 19th Ave |
|---|---|
| City | Denver |
| State | Colorado (CO) |
| Post Code | 802181114 |
| Phone Number | 3038123600 |
| Fax Number | 3038124223 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 30486 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1304864 | CO | -- | |
| 6041 | CO | KAISER-COMMERCIAL NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Phyllis Ann Bergeron by the Centers for Medicare & Medicaid Services?
The Phyllis Ann Bergeron has been assigned the NPI (National Provider Identifier) 1407990120 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Phyllis Ann Bergeron's facilities are geographically located?
The facilities of Phyllis Ann Bergeron are physically situated at the following location: 1375 E 19Th Ave, Denver, CO, 802181114.
What is Phyllis Ann Bergeron's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phyllis Ann Bergeron's area of specialization is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this field of practice is 207Yx0007X.
On what date did the Phyllis Ann Bergeron receive its 1407990120 assignment from the Centers for Medicare & Medicaid Services?
The Phyllis Ann Bergeron was assigned its 1407990120 by the Centers for Medicare & Medicaid Services on 2007-02-16.
When was the information pertaining to Phyllis Ann Bergeron most recently updated or revised?
The details related to Phyllis Ann Bergeron, including its address, specialty, and other relevant information, were last updated or revised on 2020-02-24.
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