Individual
GARIN B BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374-5503
(623) 876-3870
(623) 285-2707
Mailing address
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374-5503
(623) 478-3100
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
011339
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011339
ARIZONA BOARD OF OSTEOPATHIC EXAMINERS
AZ
01
—
NONE
NONE
—
Enumeration date
12/10/2019
Last updated
05/09/2025
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