Individual
ERIC CARL BERTROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14101 WILLOW DR, CLIVE, IA 50325-8319
(319) 551-8735
Mailing address
14101 WILLOW DR, CLIVE, IA 50325-8319
(319) 551-8735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-54632
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
04/15/2022
Last updated
04/14/2025
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