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Lars Bergeson, M.d., Pc
Point of Service in Providence, Utah
NPI 1982933750

Lars Bergeson, M.d., Pc is a Point of Service based in Providence, UT. Lars Bergeson, M.d., Pc practices in Providence, UT. The NPI Number for Lars Bergeson, M.d., Pc is 1982933750 and holds a License No. (Utah).

The current practice location address for Lars Bergeson, M.d., Pc is 382 W 280 N, Providence, UT and can be reached out via phone at 435-752-0330 and via fax at 435-755-0922. You can also correspond with Lars Bergeson, M.d., Pc through the mailing address at PO BOX 609, PROVIDENCE, UT - 84332-0609 (mailing address contact number: 435-752-0330).

Location: 382 W 280 N, Providence, UT, 84332-0609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982933750
Provider Name
Lars Bergeson, M.d., Pc
Credential
Provider Entity Type
Organization
Address
382 W 280 N, Providence, UT, 84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
Provider Enumeration Date
12/08/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
157381244047 05 UT
institution
Provider Business Practice Location Address Details
Address
382 W 280 N
City
Providence
State
Utah
Zip
84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
person
Provider Business Mailing Address Details
Address
382 W 280 N
City
Providence
State
Utah
Zip
84332-0609
Phone Number
435-752-0330
Fax Number
435-755-0922
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
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Definition
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.
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