Individual
MR. CASEY KENAN BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(801) 830-7797
Mailing address
5496 N LITTLE RIVER LN, TUCSON, AZ 85704-1768
(801) 830-7797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0852
AZ
Other
Enumeration date
05/16/2012
Last updated
07/03/2012
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