Individual
DR. REONO BERTAGNOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
137 LITTLE INDIAN LOOP, MOORESVILLE, NC 28117-9395
(877) 905-1724
Mailing address
1620 NORTHWEST BLVD STE 202, COEUR D ALENE, ID 83814-2488
(877) 905-1724
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12601
HI
Other
Enumeration date
11/03/2005
Last updated
05/14/2021
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