SAMUEL MARK BERTOCH

ROOSEVELT, UT
NPI1417525544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  327174-4405)
Enumeration Date2021-06-15
Last Update Date2021-06-15
Business Address
Mr. SAMUEL MARK BERTOCH FNP-C
2750 NORTH 2762 WEST
ROOSEVELT, UT 84066
Phone number: 435-722-9250
Mailing Address
Mr. SAMUEL MARK BERTOCH FNP-C
2750 NORTH 2762 WEST
ROOSEVELT, UT 84066
Phone number: 435-722-9250
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