JAXON BERGUM

Technician, Other

Active Individual
NPI: 1003574971

Practice Address

930 N 3RD ST
Grand Forks, ND 58203

Phone: (701) 795-9143

Specialties

Specialty Code Primary License
Technician, Other 247200000X Yes 10586 ()

Frequently Asked Questions

NPI 1003574971 is the National Provider Identifier for JAXON BERGUM, a Technician, Other provider located in Grand Forks, ND. This NPI was enumerated on December 7, 2021.
JAXON BERGUM practices at 930 N 3RD ST, Grand Forks, ND 58203.

Quick Facts

NPI
1003574971
Type
Individual
Enumerated
Dec 7, 2021
Last Updated
Dec 7, 2021

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