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Individual

JAMEN RICK BARTLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 865-1321
Mailing address
111 COLCHESTER AVE, UVM MEDICAL CENTER, PATHOLOGY, BURLINGTON, VT 05401-1473
(802) 847-5121
(802) 847-5905

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.133003
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100562670
KY
Enumeration date
03/29/2012
Last updated
02/06/2023
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