Ronald Bertram MD

NPI 1669411096 - Family Medicine - 207Q00000X

NPI Details
NPI 1669411096
Gender Male
Enumeration Date 06/04/2006
Last Updated 12/31/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3000 NW A ST
BENTONVILLE AR, 72712-3985, US
Phone (479) 268-3050
Fax (479) 273-0050
Business Location
PO BOX 550
LOWELL AR, 72745-0550, US
Phone (479) 463-7775
Fax (479) 463-7187
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number E3360
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According to our database, Ronald Bertram MD NPI is 1669411096, taxonomy code is 207Q00000X and license number is E3360, license state is located at Arkansas. Ronald Bertram MD physically located at 3000 Nw A St, Bentonville AR, 72712-3985. NPI Number Ronald Bertram MD has the Individual type.

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1669411096 NPI number is provided on an as is basis without warranty of any kind. 1669411096 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Bertram MD are for informational purposes only.