Individual
JOHN HARDING BARTOW II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3417 ENSIGN RD NE, OLYMPIA, WA 98506-5064
(360) 493-4609
(360) 493-4603
Mailing address
PO BOX 42, SILVERDALE, WA 98383-0042
(360) 471-7713
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
OP0000896
WA
2085N0904X
Nuclear Radiology Physician
OP0000896
WA
2085R0202X
Diagnostic Radiology Physician
Primary
OP0000896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037811
—
WA
01
—
168006
LABOR & INDUSTRIES
WA
01
—
300138947
RAILROAD MEDICARE
—
01
—
4570345
AETNA
—
01
—
5389BA
REGENCE BLUESHIELD
—
01
—
8931358
CRIME VICTIMS COMP
WA
Enumeration date
07/06/2006
Last updated
03/07/2023
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