GREGORY WALTER BERGNER

SOUTH LAKE TAHOE, CA
NPI1851398671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G34890)
Enumeration Date2005-07-07
Last Update Date2018-03-17
Business Address
DR. GREGORY WALTER BERGNER MD
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150-3459
Phone number: 530-600-1960
Mailing Address
DR. GREGORY WALTER BERGNER MD
1111 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150-6207
Phone number: 530-543-5659