Individual
DAYNA BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1055 N 500 W, STE 212, BLDG C, PROVO, UT 84604-3305
(385) 203-2720
(801) 375-4237
Mailing address
1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14258508-1206
UT
Other
Enumeration date
12/04/2025
Last updated
12/22/2025
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