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Individual

PROF. BERTRAND JANNE D'OTHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3333 CONCOURS STE 100, ONTARIO, CA 91764-4875
(909) 481-3242
(909) 481-3243
Mailing address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(760) 568-3461
(760) 423-6273

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16827
NH
2085R0202X
Diagnostic Radiology Physician
BELGIUM
ZZ
2085R0202X
Diagnostic Radiology Physician
Primary
C53060
CA
2085R0202X
Diagnostic Radiology Physician
D69087
MD
2085R0202X
Diagnostic Radiology Physician
FRANCE
ZZ
2085R0202X
Diagnostic Radiology Physician
MED-PHYS-LIC-34936
MT
2085R0204X
Vascular & Interventional Radiology Physician
218847
MA
2085R0204X
Vascular & Interventional Radiology Physician
58782
MN
2085R0204X
Vascular & Interventional Radiology Physician
MD18349
ME
2085R0204X
Vascular & Interventional Radiology Physician
MD2014-0761
NM

Other

Enumeration date
05/03/2006
Last updated
10/15/2024
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