DEREK BERTA

IDAHO FALLS, ID
NPI1114572716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  3371894)
Enumeration Date2019-08-09
Last Update Date2026-03-17
Business Address
DEREK BERTA
2860 CHANNING WAY STE 220
IDAHO FALLS, ID 83404-7541
Phone number: 208-800-6155
Mailing Address
DEREK BERTA
PO BOX 277381
ATLANTA, GA 30384-7381
Phone number:
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