NPI | 1104036854 |
---|---|
Other Name | RHETT L. BERGERON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 044683) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: GA 044683) |
261QP2300X Clinic/Center, Primary Care (Licence: GA 044683) | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: GA 044683) | |
2083S0010X Preventive Medicine, Sports Medicine (Licence: GA 044683) | |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: GA 044683) | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: GA 044683) | |
2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: GA 044683) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2010-12-22 |