Individual
DEAN P BERTHOTY
Active
Individual
DEAN P BERTHOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5656
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290211
—
NV
01
—
300047405
RR MEDICARE
—
01
—
NV5656
BLUE
NV
Enumeration date
01/09/2006
Last updated
01/11/2013
Update your record
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