Individual
RENEE L BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 886-6565
(812) 886-6566
Mailing address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 886-6565
(812) 886-6566
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01069495A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000712643
ANTHEM
IN
05
—
100189710B
—
KS
05
—
201020990
—
IN
Enumeration date
10/13/2006
Last updated
03/07/2017
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