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Dr. Tad S. Bergen, AuD.

Audiologist in Farmington, UT. Individual provider (NPI-1).

NPI number1508177635
StatusActive
Last updated in NPPESDec 29, 2021

Details

NPI
1508177635
Entity type
Individual (NPI-1)
Name
Dr. Tad S. Bergen
Credential
AuD.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2010
Certification date
Dec 29, 2021
Last updated
Dec 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist––Yes
237600000X Audiologist-Hearing Aid Fitter––

Practice location

165 N University Ave
Farmington, UT 84025-2990

Phone 801-213-6669

Mailing address

165 N University Ave
Farmington, UT 84025-2990

Phone 385-300-9898

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