Individual
DR. JILL BERGESON BARKDULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-1705
(801) 443-1164
Mailing address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 443-1164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57647571205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043466899
ALTIUS
UT
05
—
1043466899
—
UT
01
—
107107195101
SELECT HEALTH
UT
01
—
1126140
DESERET HEALTHCARE TRUST
UT
01
—
171564
PEHP
UT
01
—
870293878
EMI HEALTH
UT
Enumeration date
08/12/2008
Last updated
05/10/2013
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