Individual
DR. JOSEPH THOMAS BERGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326
(928) 639-5588
(928) 639-5589
Mailing address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
56349
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015654460023
—
PA
Enumeration date
06/30/2011
Last updated
10/22/2020
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