Individual
RAYMOND J BERTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2400
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2359
(208) 262-2349
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-183
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004359600
—
ID
Enumeration date
06/20/2005
Last updated
10/26/2016
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