Organization · Type 2 NPI

Lars Bergeson, M.d., PC

Point of Service · Providence, UT

NPI number 1982933750 Active

Practice location

382 W 280 N
Providence, UT 84332-0609

Call (435) 752-0330 Map

Fax (435) 755-0922

Mailing address

PO Box 609, 382 W 280 N
Providence, UT 84332-0609

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

8 other providers at this address

About NPI 1982933750

Lars Bergeson, M.d., PC's National Provider Identifier is 1982933750, issued on Dec 8, 2009. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Providence, UT. The record was last updated on Dec 8, 2009.