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Individual

BERTRAM I OKORIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1301 S. CRISMON ROAD, MESA, AZ 85209
(480) 358-6300
(480) 358-6306
Mailing address
9145 E. HACKAMORE DR., SCOTTSDALE, AZ 85255
(602) 550-2235
(480) 473-3431

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18431
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135534
AZ
Enumeration date
12/13/2005
Last updated
10/22/2011
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