Individual
THAD EDWARD BARTELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 E SOUTHERN AVENUE, TEMPE, AZ 85282
(480) 820-1200
(480) 820-5743
Mailing address
2131 E SOUTHERN AVENUE, TEMPE, AZ 85282
(480) 820-1200
(480) 820-5743
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
17566
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277328
—
AZ
01
—
4136330
AETNA
—
01
—
AZ0255760
BLUE CROSS
—
Enumeration date
02/21/2006
Last updated
07/08/2007
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