Individual
WILLIAM RYAN BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
104 W COURT AVE, SELMER, TN 38375-2102
(731) 437-2720
(731) 434-0388
Mailing address
104 W COURT AVE, SELMER, TN 38375-2102
(731) 437-2720
(731) 645-5195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO1733
TN
207Q00000X
Family Medicine Physician
Primary
1733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3319561
—
TN
01
—
4162040
BCBS TN
TN
Enumeration date
06/02/2006
Last updated
06/14/2023
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