Bergeson, Audrey

Bergeson, Audrey is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bergeson, Audrey can be contacted via phone (801) 357-7850.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Q9957 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X BP10049734 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11439161-1205 Utah

Profile Details

NPI number 1427478577
LBN Legal business name Bergeson, Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2014
Last updated Dec 22nd, 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.

Request for update

Popular Providers