Individual
DR. EDWARD R BARTLEY
Active
Individual
DR. EDWARD R BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01026192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082139
ANTHEM-351158723
IN
01
—
000000492330
ANTHEM 203778927
IN
01
—
002857
SIHO-351158723
IN
01
—
071674
HEALTH ALLIANCE-351158723
IN
05
—
100206710
—
IN
01
—
300100619
RR MEDICARE 351158723
IN
01
—
Q0072450
CMOSHO351158723&352047427
IN
Enumeration date
05/24/2005
Last updated
12/04/2009
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