Individual
ANTHONY P BERTASI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-3021
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-3021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.013926
OH
207P00000X
Emergency Medicine Physician
5531
TN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
27979
MS
Other
Enumeration date
03/30/2017
Last updated
03/18/2024
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