SAMANTHA ANNE BERTHOLD MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1114850286- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 707 N. EMPORIA AVE, WICHITA, KS, 67214
- Phone
- (316) 858-3460
- Fax
- (316) 858-3499
Specialties & Taxonomies
Family Medicine
Primary License: KS #94-12835