Individual
BRENT ALLEN BARTGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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