Individual
BLAKE A. BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2868
Mailing address
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132-0002
(801) 581-2868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351045622
MI
2085R0202X
Diagnostic Radiology Physician
Primary
11885469-1205
UT
Other
Enumeration date
06/28/2019
Last updated
03/06/2025
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