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Contact Information

PHYLLIS A BERGERON, MD
1375 E 19TH AVE
DENVER, CO80218-1114
 Phone: 303-812-3600
 Fax: 303-812-4223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PHYLLIS A BERGERON · (Female)

NPI # 1407990120
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2007
Last updated 02/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 30486
  • CO Medicaid 01304864
  • CO Other 006041 KAISER-COMMERCIAL NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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