LARS BERGESON, M.D., PC

PROVIDENCE, UT
NPI1982933750
Entity TypeOrganization
Authorized ContactLARS BERGESON
Owner
435-752-0330
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
Enumeration Date2009-12-08
Last Update Date2009-12-08
Business Address
LARS BERGESON, M.D., PC
382 W 280 N
PROVIDENCE, UT 84332-0609
Phone number: 435-752-0330
Mailing Address
LARS BERGESON, M.D., PC
PO BOX 609 382 W 280 N
PROVIDENCE, UT 84332-0609
Phone number: 435-752-0330