Individual
KIAN DEI BERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-7856
(406) 720-0168
Mailing address
3000 WASHBURN ST APT 11, MISSOULA, MT 59801-7856
(406) 720-0168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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