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Individual

NATHAN ROBERT BERTOLDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
2245 N 400 E STE 201, LOGAN, UT 84341-1891
(435) 787-7001
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(435) 557-0608
(801) 216-8357

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10368191
UT
207V00000X
Obstetrics & Gynecology Physician
7092
NE

Other

Enumeration date
06/27/2013
Last updated
10/25/2023
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