Organization
BRYAN BARTHOLOMEW DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN BARTHOLOMEW D.O. (PRESIDENT)
(801) 294-9333
Entity
Organization
Contact information
Practice address
520 MEDICAL DR, SUITE 200, BOUNTIFUL, UT 84010-4968
(801) 294-9333
(801) 299-7811
Mailing address
520 MEDICAL DR, SUITE 200, BOUNTIFUL, UT 84010-4968
(801) 294-9333
(801) 299-7811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200632448
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529313669001
—
UT
Enumeration date
11/10/2006
Last updated
08/17/2010
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