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Individual
BRYAN R. BARTHOLOMEW
Active
Individual
BRYAN R. BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
308222-1204
UT
208M00000X
Hospitalist Physician
Primary
308222-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6955
—
UT
01
—
P00807099
RAILROAD MEDICARE
UT
Enumeration date
09/23/2006
Last updated
05/15/2018
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