Individual
BARRY DEAN BERTOLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
499 GLOSTER CREEK VILLAGE A-2, CARDIOLOGY ASSOCIATES OF N. MS, PA, TUPELO, MS 38801
(662) 620-6800
(662) 620-6950
Mailing address
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF N. MS, PA, TUPELO, MS 38801-4749
(662) 620-6800
(662) 620-6950
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11333
MS
207RI0011X
Interventional Cardiology Physician
11333
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118728
—
MS
Enumeration date
08/30/2006
Last updated
08/02/2013
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