Organization

Mary F. Bergum, Md, Pllc

May also be knows as Mary F. Bergum, Md

Family Medicine Physician in Spokane, WA(View on Map)

Legal Business Name

Mary F. Bergum, Md, Pllc

Also Known As

Mary F. Bergum, Md

NPI Number

1063625150

NPI Type

Organization

Enumeration Date

05/07/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MD00042807

Contact
Information

Purpose

Mailing
Location

Address

3154 E 29TH AVE
3154 E 29TH AVE

City

Spokane
Spokane

State

WA
WA

Postal Code

99223-4852
99223-4852

Country

US
US

Telephone Number

(509) 448-4870
(509) 448-4870

Authorized Official

Name

Dr. Mary Bergum

Title or Position

OWNER

Telephone Number

(509) 448-4870

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/19/2020

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