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Dr. Charles Joseph Bertuch JR., MD
Independent Medical Examiner Physician in Fort Collins, Colorado
NPI 1316056013

Charles Joseph Bertuch JR. is a Independent Medical Examiner Physician based in Fort Collins, CO. Charles Joseph Bertuch JR. practices in Fort Collins, CO and has the professional credentials of MD. The NPI Number for Charles Joseph Bertuch JR. is 1316056013 and holds a License No. 99421-1 (Colorado).

The current practice location address for Charles Joseph Bertuch JR. is 1120 E Elizabeth Street, Fort Collins, CO and can be reached out via phone at 970-493-9193 and via fax at 970-639-4475.

Location: 1120 E Elizabeth Street, Fort Collins, CO, 80524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316056013
Provider Name
Charles Joseph Bertuch JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1120 E Elizabeth Street, Fort Collins, CO, 80524
Phone Number
970-493-9193
Fax Number
970-639-4475
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00553493 05 NY
18111 01 NY MVP HEALTHPLAN
0000CM0523 01 RAILROAD MEDICARE
000405418002 01 NY BSH NE NY
institution
Provider Business Practice Location Address Details
Address
1120 E Elizabeth Street
City
Fort Collins
State
Colorado
Zip
80524
Phone Number
970-493-9193
Fax Number
970-639-4475
person
Provider Business Mailing Address Details
Address
1120 E Elizabeth Street
City
Fort Collins
State
Colorado
Zip
80524
Phone Number
970-493-9193
Fax Number
970-639-4475
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
099426 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Independent Medical Examiner
Speciality
-
Taxonomy
202C00000X
License No.
DR.0052261 (Colorado)
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
99421-1 (New York)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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