| NPI | 1063625150 |
|---|---|
| Doing Business As | MARY F. BERGUM, MD |
| Entity Type | Organization |
| Authorized Contact | MARY F. BERGUM Owner 509-448-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00042807) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-03-19 |