Individual
RICHARD DENNIS BERTKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 N WAYTE LN STE 2300, FRESNO, CA 93701-2124
(866) 342-6012
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G30979
CA
207RR0500X
Rheumatology Physician
Primary
G30979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G309790
—
CA
01
—
BA311Z
PTAN
CA
Enumeration date
07/18/2006
Last updated
01/27/2021
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