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Individual

DR. CHASE CHARLES BARTHOLOMEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
311 W 14TH ST, PUEBLO, CO 81003-2705
(719) 595-7585
(719) 595-7589
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
(719) 595-7589

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12335288-1204
UT
207R00000X
Internal Medicine Physician
Primary
TL.0007275
CO

Other

Enumeration date
04/17/2018
Last updated
06/17/2021
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