Individual
KATHARINE BERGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 S HWY 89, JACKSON, WY 83001-8515
(307) 739-8999
(307) 739-4811
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-8999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60805916
WA
363A00000X
Physician Assistant
Primary
PA991
WY
Other
Enumeration date
05/17/2016
Last updated
02/09/2023
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