Individual provider · Type 1 NPI

Bethel Adefres, MD

Student in an Organized Health Care Education/Training Program · Porterville, CA

NPI number 1376112607 Active

Practice location

465 W Putnam Ave
Porterville, CA 93257-3320

Call (559) 784-1110 Map

Mailing address

20 York St
New Haven, CT 06510-3220

Specialties and licenses

TaxonomyCodeLicense
Therapeutic Radiology Physician 2085R0203X80946 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376112607

Bethel Adefres, MD's National Provider Identifier is 1376112607, issued on Jun 21, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Porterville, CA. The record was last updated on Jun 9, 2023.