Individual
DR. J PATRICK BERTROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5525 MEREDITH DR, SUITE B, DES MOINES, IA 50310-2334
(515) 334-9484
(515) 334-9498
Mailing address
5525 MEREDITH DR, SUITE B, DES MOINES, IA 50310-2334
(515) 334-9484
(515) 334-9498
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
03220
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861559486
—
IA
Enumeration date
01/02/2007
Last updated
08/09/2016
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