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Individual

DR. MARVIN BERGESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3520
(907) 459-3526
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3526

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1824
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010782
AK
Enumeration date
02/18/2006
Last updated
03/07/2023
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