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Organization

BERTAGNOLLI MEDCIATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES BERTAGNOLLI JR. RPH (ORGANIZATION OWNER)
(573) 821-6418
Entity
Organization

Contact information

Practice address
1008 W 93RD ST, KANSAS CITY, MO 64114-3216
(573) 821-6418
Mailing address
1008 W 93RD ST, KANSAS CITY, MO 64114-3216
(573) 821-6418

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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