ANDREW E BERTAGNOLL

SPINECARE MEDICAL GROUP, INC

Dr ANDREW E BERTAGNOLL is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1990.

Contact

SPINECARE MEDICAL GROUP, INC

455 HICKEY BLVD
SUITE 310
DALY CITY
CA
940152630

Tel: 6509857500

ANDREW E BERTAGNOLL Information

Npi 1578683926
Pac Id 0547434300
Professional Enrollment Id I20111114000647
Last Name BERTAGNOLL
First Name ANDREW
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1990
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SPINECARE MEDICAL GROUP, INC
Group Practice Pac Id 6800869116
Number Of Group Practice Members 6
Line 1 Street Address 455 HICKEY BLVD
Line 2 Street Address SUITE 310
Marker Of Address Line 2 Suppression
City DALY CITY
State CA
Zip Code 940152630
Phone Number 6509857500
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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