Jeffrey Parke Bergeson, O.D.
Optometrist in Kingman, AZ. Individual provider (NPI-1).
NPI number1861691586
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1861691586
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Parke Bergeson
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Jul 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1582 | AZ | Yes |
Practice location
1925 Florence AveKingman, AZ 86401-4617
Phone 971-404-8569
Mailing address
1925 Florence AveKingman, AZ 86401-4617
Phone 971-404-8569
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All 12 Optometrist providers in Kingman · All 1,037 providers in Kingman
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