Lars Bergeson, MD, PC
Lars Bergeson, MD, PC is a Health Service Clinic/Center in Providence, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
382 N 280 WProvidence, UT 84332-0609
Phone: (435) 752-0330
Fax: (435) 755-0922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 170371-1205 (UT) |
|---|
Record details
| NPI number | 1336335884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lars Bergeson — Owner · (435) 752-0330 |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | February 1, 2010 |
| Mailing address | Po Box 609, 382 N 280 W, Providence, UT 84332-0609 |
Other providers in Providence
-
James Dennis Mathews, DO, PC
382 W 280 N, Providence, UT 84332-0609 · (435) 752-0330
-
Kevin R Duke, DO, PC
382 W 280 N, Providence, UT 84332-0609 · (435) 752-0330
-
Richard T Stevens, MD, PC
169 Springcreek Pkwy 100, Providence, UT 84332-9707 · (435) 752-0330