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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BERTAGNOLLI, REONO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1620 NORTHWEST BLVD STE 202
COEUR D ALENE ID 83814-2488

Address last updated on 10/24/2024
Phone #: (208) 449-1618
Fax #:
County: NOT OKLAHOMA
License: 26193
Dated: 8/6/2008
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduated: 5 / 1998
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1620 NORTHWEST BLVD STE 202
COEUR D ALENE ID 83814-2488

Phone #: (208) 449-1618
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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