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Organization
S. LUKE BERTHELSEN DPM, INC
Active
Organization
S. LUKE BERTHELSEN DPM, INC
Active
Other names
Foundation Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LUKE BERTHELSEN DPM (PRESIDENT)
(760) 463-9155
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY STE 265, VISTA, CA 92083-6034
(760) 463-9155
Mailing address
2067 W VISTA WAY STE 265, VISTA, CA 92083-6034
(760) 463-9155
(760) 712-4212
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5190
CA
Other
Enumeration date
02/14/2018
Last updated
10/25/2018
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