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Individual
DR. BARRY DALE BERGQUIST
Active
Individual
DR. BARRY DALE BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
93-188635-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002086426
—
NV
05
—
003575200
—
ID
01
—
107005508101
IHC
UT
05
—
110405500
—
WY
01
—
1502954
UMWA
UT
05
—
182949
—
AZ
01
—
2090168
UNITED HEALTHCARE
UT
01
—
37773
PEHP
UT
01
—
53226
HEALTHY U
UT
01
—
8597445
WORKERS COMP FUND
UT
01
—
870545614BE1
EDUCATORS MUTUAL
UT
01
—
96764
DESERET MUTUAL
UT
01
—
PRA04665
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
08/05/2006
Last updated
10/15/2012
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