Individual
RICHARD A BERTELSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6341
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
119768
MO
208M00000X
Hospitalist Physician
Primary
MD119768
MO
Other
Enumeration date
09/13/2006
Last updated
08/02/2022
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