Bergeron, Phyllis Ann

Bergeron, Phyllis Ann is an individual health care provider with primary practice located at 1375 E 19Th Ave , Denver CO 80218-1114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as her primary health care specialty. Bergeron, Phyllis Ann can be contacted via phone (303) 812-3600.

Contact Information

Primary practice address
1375 E 19Th Ave Denver CO 80218-1114
Phone: (303) 812-3600
Fax: (303) 812-4223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 30486 Colorado

Profile Details

NPI number 1407990120
LBN Legal business name Bergeron, Phyllis Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Feb 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407990120 NPPES
Colorado MEDICAID 01304864
Colorado Other 006041

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