Individual
DR. ROY WILLIAM BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14050 JUANITA DR NE, SUITE A, BOTHELL, WA 98011-5312
(425) 820-2020
(425) 821-9576
Mailing address
14050 JUANITA DR NE, SUITE A, BOTHELL, WA 98011-5312
(425) 820-2020
(425) 821-9576
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OP00000732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074817
ANTHEM
WA
01
—
0004122615
AETNA
WA
05
—
1121102
—
WA
01
—
144150144150
PREMERA
WA
01
—
7550BA
REGENCE BLUE SHIELD
WA
01
—
911087550 98011 B001
TRICARE
WA
01
—
911087550AA
UNIFORM
WA
Enumeration date
10/26/2005
Last updated
04/09/2008
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