Individual
JEFFREY M BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11795 EDUCATION ST, SUITE 110, AUBURN, CA 95602-2454
(530) 886-6820
(530) 886-6821
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A9815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX98150
—
CA
Enumeration date
04/10/2007
Last updated
05/12/2015
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