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Individual

ROBERT EDMOND BECHTOLD

Active
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Individual

ROBERT EDMOND BECHTOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
27424
NC
2085R0204X
Vascular & Interventional Radiology Physician
27424
NC
2085U0001X
Diagnostic Ultrasound Physician
27424
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14267
BCBS
05
220583000
WV
01
4665727
AETNA
01
51291
MEDCOST
01
6996
PARTNERS
05
7233507
VA
05
8914267
NC
05
Q27424
SC
Enumeration date
12/07/2005
Last updated
10/08/2010
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