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Individual
DAMON TROY BARTLEY
Active
Individual
DAMON TROY BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001498A
IN
363AS0400X
Surgical Physician Assistant
10001498A
IN
363AS0400X
Surgical Physician Assistant
1601
TN
363AS0400X
Surgical Physician Assistant
50-003027
OH
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508056
—
TN
Enumeration date
06/25/2008
Last updated
05/07/2024
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