Individual
DR. BRYAN LEONARD BERGHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10821 19TH AVE SE, EVERETT, WA 98208-5103
(425) 337-7000
(425) 338-2408
Mailing address
6405 S 3000 E STE 201, SALT LAKE CITY, UT 84121-6990
(801) 266-3113
(801) 266-5633
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8484388
—
WA
Enumeration date
10/16/2006
Last updated
02/05/2024
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