Individual
DR. TERESA DENISE BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9400
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 522-9879
(928) 522-9880
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115312
—
AZ
Enumeration date
07/22/2005
Last updated
05/28/2020
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