BERTHOLD HALTER

CORONA, CA
NPI1952636524
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA13705)
Enumeration Date2009-10-14
Last Update Date2018-12-28
Business Address
BERTHOLD HALTER PA-C
854 MAGNOLIA AVE STE 101
CORONA, CA 92879-3109
Phone number: 951-737-1454
Mailing Address
BERTHOLD HALTER PA-C
854 MAGNOLIA AVE STE 101
CORONA, CA 92879-3109
Phone number:
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