Organization
MARY F. BERGUM, MD, PLLC
Active
Other names
Mary F. Bergum, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY F. BERGUM MD (OWNER)
(509) 448-4870
Entity
Organization
Contact information
Practice address
3154 E 29TH AVE, SPOKANE, WA 99223-4852
(509) 448-4870
(800) 976-4305
Mailing address
3154 E 29TH AVE, SPOKANE, WA 99223-4852
(509) 448-4870
(800) 976-4305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00042807
WA
Other
Enumeration date
05/07/2007
Last updated
03/19/2020
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