Individual
BRENT ALLEN BARTGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1155 W PARKVIEW, SUITE 1F, BOLIVAR, MO 65613-7800
(417) 326-8700
(417) 777-8173
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6501
(417) 328-6338
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2002007668
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00070598
PALMETTO GBA RAILROAD
MO
Enumeration date
09/14/2006
Last updated
12/29/2016
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