Individual
JOHN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
1309 N LAMBERT LN, COEUR D ALENE, ID 83814-6082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-44918
ID
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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