Individual
SALVATORE BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-8234
Mailing address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
5101023685
MI
208D00000X
General Practice Physician
Primary
5101023685
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2015
Last updated
02/13/2018
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