Individual
DR. ALAN BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 FISHER ST RM 1F325, KEESLER AFB, MS 39534-2508
(801) 706-4520
Mailing address
88 MDG/SGHJ, 4881 SUGAR MAPLE DR., WRIGHT PATTERSON AFB, OH 45433
(937) 257-6529
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
1747
NE
390200000X
Student in an Organized Health Care Education/Training Program
1747
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1747
—
NE
Enumeration date
06/04/2015
Last updated
08/13/2020
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