Individual
BLAKE A. BARTHOLOMEW
Active
Individual
BLAKE A. BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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