Individual
CALEB BERGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 207-0078
Mailing address
706 E ALLEN RD, TAHLEQUAH, OK 74464-6730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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