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Search › Arizona › 367500000X

Dustin Bergeron

NPI 1588426274 · on the registry since 2024

Practice

Address
18701 N 67th Ave
Glendale, AZ 85308
Phone
(623) 561-1000
Organisation at this address
Ikmd Pllc
Mdnapoli, Inc
Mandeep K Rai Plc
Veiga Medical Pllc
Ipn Of Arizona, Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
390200000X
Licence states on file
LA, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-31

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 Arizona