Individual
ANTHONY BERSAMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
991 WHITAKER DR, TOOELE, UT 84074-9483
(435) 224-8062
Mailing address
991 WHITAKER DR, TOOELE, UT 84074-9483
(435) 224-8062
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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