Individual
KATHLEEN JOANNE BARTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 719-3500
Mailing address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 719-3500
(435) 719-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11772435-1205
UT
207Q00000X
Family Medicine Physician
MRM-1546
ID
Other
Enumeration date
06/13/2016
Last updated
02/03/2021
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