NPI 1003273061

Anthony Bersamen

Practitioner Student in an Organized Health Care Education/Training Program Tooele, UT

Practice location

Address: 991 Whitaker Dr, Tooele, UT 84074-9483
Phone: (435) 224-8062

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003273061
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2016
Record last updated: 21 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.