NPI 1003578568

Marshall Barr Bergen, CRNA

Practitioner Certified Registered Nurse Anesthetist Phoenix, AZ

Practice location

Address: 4605 E Elwood St STE 500, Phoenix, AZ 85040-1978
Phone: (480) 256-1518
Fax: (480) 304-3446
Mailing address: 1526 E Beacon Dr, Gilbert, AZ 85234-2674

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 269219 (AZ)

Other Nurse Anesthetist, Certified Registered providers in Arizona →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence RN192249 (AZ)

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Registry record

NPI: 1003578568
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2021
Record last updated: 17 Feb 2022

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.