Individual
RAY BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
723 1ST CAPITOL DR, SAINT CHARLES, MO 63301-2729
(636) 577-1357
(636) 447-1202
Mailing address
3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131-2324
(314) 996-7014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104933
MO
Other
Enumeration date
08/13/2006
Last updated
10/11/2021
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