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Individual

DR. SCOTT L. BARTUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2162
(901) 818-2163
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2162
(901) 818-2163

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD24117
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0119320
MS
05
128185001
AR
05
208103515
MO
05
3086023
TN
Enumeration date
02/22/2006
Last updated
05/22/2008
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