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Berthold Halter JR., PA-C
Medical Physician Assistant in Corona, California
NPI 1952636524

Berthold Halter JR. is a Medical Physician Assistant based in Corona, CA and is specialized in Medical. Berthold Halter JR. practices in Corona, CA and has the professional credentials of PA-C. The NPI Number for Berthold Halter JR. is 1952636524 and holds a License No. PA13705 (California).

The current practice location address for Berthold Halter JR. is 854 Magnolia Ave Ste 101, Corona, CA and can be reached out via phone at 951-737-1454.

Location: 854 Magnolia Ave Ste 101, Corona, CA, 92879-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952636524
Provider Name
Berthold Halter JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
854 Magnolia Ave Ste 101, Corona, CA, 92879-3109
Phone Number
951-737-1454
Fax Number
Provider Enumeration Date
10/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
854 Magnolia Ave Ste 101
City
Corona
State
California
Zip
92879-3109
Phone Number
951-737-1454
Fax Number
person
Provider Business Mailing Address Details
Address
854 Magnolia Ave Ste 101
City
Corona
State
California
Zip
92879-3109
Phone Number
951-737-1454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA13705 (California)
Definition
Definition to come...
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