Individual
MR. COLIN OLIVER BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 502-3939
(918) 502-3945
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 502-3939
(918) 502-3945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3014
OK
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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