Individual
MRS. CLAIRE DORAN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003674
VA
363AM0700X
Medical Physician Assistant
C04647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04647
STATE LICENSE
MD
Enumeration date
12/05/2011
Last updated
11/27/2023
Update your record
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