Individual
ROBERT NELSON BERTOLDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4401 HARRISON BLVD STE 1885, OGDEN, UT 84403-3195
(801) 387-4870
(801) 387-4875
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K6988
TX
2083A0100X
Aerospace Medicine Physician
K6988
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
7376667-1204
UT
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
K6988
TX
Other
Enumeration date
02/28/2006
Last updated
11/07/2018
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