Individual
MARK S. BETTERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. D.O.
Contact information
Practice address
22233 VILLAGE 22, CAMARILLO, CA 93012
(805) 987-0691
Mailing address
22233 VILLAGE 22, CAMARILLO, CA 93012
(805) 987-0691
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
A28689
CA
208D00000X
General Practice Physician
Primary
A28689
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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