Autumn L. Bertholdi in Springfield - Physician Assistant
Autumn L. Bertholdi - NPI 1013944024
Autumn L. Bertholdi is a Physician Assistant in Springfield, Missouri. Autumn L. Bertholdi practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Autumn L. Bertholdi is 1013944024. The last update date is 2023-07-05.
Autumn L. Bertholdi's current location address is 3850 S National Ave Ste 705, Springfield, Missouri. You can contact this provider via phone number 4178880858 and fax number 4178890476. The mailing address for Autumn L. Bertholdi is 3850 S National Ave Ste 705, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Autumn L. Bertholdi |
|---|---|
| Address | 3850 S National Ave Ste 705, Springfield, Missouri |
| Phone Number | 4178880858 |
| Fax Number | 4178890476 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1013944024 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2023-07-05 |
Provider Mailing Address Detail
| Address | 3850 S National Ave Ste 705 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658075239 |
| Phone Number | 4178880858 |
| Fax Number | 4178890476 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2006010979 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Autumn L. Bertholdi by the Centers for Medicare & Medicaid Services?
The Autumn L. Bertholdi has been issued the NPI (National Provider Identifier) 1013944024 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Autumn L. Bertholdi?
The Autumn L. Bertholdi is situated at 3850 S National Ave Ste 705, in the city of Springfield, state of MO, with the zip code 658075239.
What is Autumn L. Bertholdi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Autumn L. Bertholdi is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013944024 to Autumn L. Bertholdi?
The Autumn L. Bertholdi received its 1013944024 assignment from the Centers for Medicare & Medicaid Services on 2006-06-26.
When was the Autumn L. Bertholdi's information last updated?
The Autumn L. Bertholdi's information was last updated on 2023-07-05.