Lars Bergeson, Md, Pc in Providence - Health Service
Lars Bergeson, Md, Pc - NPI 1336335884
Lars Bergeson, Md, Pc is a Health Service in Providence, Utah. Lars Bergeson, Md, Pc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Lars Bergeson, Md, Pc is 1336335884. The last update date is 2010-02-01.
Lars Bergeson, Md, Pc's current location address is Po Box 609, Providence, Utah. You can contact this provider via phone number 4357520330 and fax number 4357550922. The mailing address for Lars Bergeson, Md, Pc is Po Box 609, Providence, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lars Bergeson, Md, Pc |
|---|---|
| Address | Po Box 609, Providence, Utah |
| Phone Number | 4357520330 |
| Fax Number | 4357550922 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bergeson Lars |
| Credentials | M.D. |
| Telephone Number | 4357520330 |
NPI Number Detail
| NPI Number | 1336335884 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2010-02-01 |
Provider Mailing Address Detail
| Address | Po Box 609 |
|---|---|
| City | Providence |
| State | Utah (UT) |
| Post Code | 843320609 |
| Phone Number | 4357520330 |
| Fax Number | 4357550922 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 170371-1205 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the unique identifier code issued to Lars Bergeson, Md, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Lars Bergeson, Md, Pc has been assigned the NPI (National Provider Identifier) 1336335884. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lars Bergeson, Md, Pc is physically located?
The Lars Bergeson, Md, Pc is physically situated at the following address: Po Box 609, Providence, UT, 843320609.
What is Lars Bergeson, Md, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lars Bergeson, Md, Pc's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 261Qh0100X.
On what date did the Lars Bergeson, Md, Pc receive the assignment of its 1336335884 from the Centers for Medicare & Medicaid Services?
The Lars Bergeson, Md, Pc was issued its 1336335884 by the Centers for Medicare & Medicaid Services on 2007-09-19.
When was the Lars Bergeson, Md, Pc's information last updated?
The Lars Bergeson, Md, Pc's information was last updated on 2010-02-01.
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