Bergstrom, Larry R

Bergstrom, Larry R is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259-5404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bergstrom, Larry R can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259-5404
Phone: (480) 301-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26196 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23784 Arizona

Profile Details

NPI number 1699749564
LBN Legal business name Bergstrom, Larry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 3rd, 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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