GREGORY W BERGNER MD

TAHOE CARSON VALLEY MEDICAL GROUP INC

Dr GREGORY W BERGNER MD is a male medical professional, specializing in Family Medicine. He graduated in 1976.

Contact

TAHOE CARSON VALLEY MEDICAL GROUP INC

1067 4TH ST
SOUTH LAKE TAHOE
CA
961503459

Tel: 5306001950

GREGORY W BERGNER MD Information

Npi 1851398671
Pac Id 9638159320
Professional Enrollment Id I20170711000250
Last Name BERGNER
First Name GREGORY
Middle Name W
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1976
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TAHOE CARSON VALLEY MEDICAL GROUP INC
Group Practice Pac Id 8426048158
Number Of Group Practice Members 47
Line 1 Street Address 1067 4TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTH LAKE TAHOE
State CA
Zip Code 961503459
Phone Number 5306001950
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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