Individual
MRS. MICHELLE LYNN BERTOLINO-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA - C
Contact information
Practice address
6226 E PIMA ST STE 100, TUCSON, AZ 85712-7003
(520) 298-7200
Mailing address
6226 E PIMA ST STE 100, TUCSON, AZ 85712-7003
(520) 298-7200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2862
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044077
—
AZ
Enumeration date
09/19/2005
Last updated
09/30/2021
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