Individual provider · Type 1 NPI

Emily Montana Bergeron, PHYSICIAN ASSISTANT

Physician Assistant · Tulsa, OK

NPI number 1295376523 Active

Practice location

1417 W 78th St Apt 1213
Tulsa, OK 74132-4633

Mailing address

4337 E 57th St
Tulsa, OK 74135-4237

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4722 (OK)
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295376523

Emily Montana Bergeron, PHYSICIAN ASSISTANT's National Provider Identifier is 1295376523, issued on Oct 8, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Jan 4, 2022.