Individual
ZACHARY BERGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F18-103313
UT
Other
Enumeration date
09/07/2012
Last updated
09/05/2024
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