Organization
AUDREY BERGESON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY BERGESON MD (OWNER)
(330) 903-3294
Entity
Organization
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(330) 903-3294
Mailing address
2102 E DIMPLE DELL RD, SANDY, UT 84092-4827
(330) 903-3294
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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