OrganizationActive
Lars Bergeson, M.D., PC
NPI 1982933750 · Point of Service · Providence, UT
Lars Bergeson, M.D., PC is a Point of Service organization in Providence, UT (NPI 1982933750).
Provider details
- NPI number
- 1982933750
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lars Bergeson, Owner(435) 752-0330
Practice location
382 W 280 N
Providence, UT 84332-0609
Phone: (435) 752-0330
Fax: (435) 755-0922
Street-level locationGet directions
Mailing address
Po Box 609
Providence, UT 84332-0609
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2009-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.