SearchOklahoma363A00000X

Emily Bergeron, PHYSICIAN ASSISTANT

NPI 1295376523 · on the registry since 2019 · sole proprietor

Practice

Address
1417 W 78th St Apt 1213
Tulsa, OK 74132
Phone
(918) 955-9302

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma