Organization
SKIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT NELSON BERTOLDO D.O. (PRESIDENT/CEO)
(210) 315-1506
Entity
Organization
Contact information
Practice address
1901 BABCOCK RD STE 200, SAN ANTONIO, TX 78229-4545
(210) 802-7022
(210) 579-8537
Mailing address
PO BOX 701570, SAN ANTONIO, TX 78270-1570
(210) 315-1506
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
K6988
TX
Other
Enumeration date
02/12/2013
Last updated
10/28/2015
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