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Dr. Derek Scott Bergeson, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1164641387

Derek Scott Bergeson is a Diagnostic Radiology Physician based in Provo, UT and is specialized in Diagnostic Radiology. Derek Scott Bergeson practices in Provo, UT and has the professional credentials of MD. The NPI Number for Derek Scott Bergeson is 1164641387 and holds a License No. 45556 (Utah).

The current practice location address for Derek Scott Bergeson is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-354-8225 and via fax at 801-418-0941.

Location: 1055 N 500 W, Provo, UT, 84604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164641387
Provider Name
Derek Scott Bergeson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604
Phone Number
801-354-8225
Fax Number
801-418-0941
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-8460
Phone Number
801-354-8225
Fax Number
801-418-0941
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
Provo
State
Utah
Zip
84604-8460
Phone Number
801-354-8225
Fax Number
801-418-0941
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
45556 (Colorado)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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