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NPI Code Detail

MEDICARE: ANN E BARTOLONI MD

MEDICARE: ANN E BARTOLONI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician15205OK

General Provider Information

NPI Number : 1144249301
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN E BARTOLONI MD
Provider Business Mailing Address
First Line : 1611 S UTICA AVE
Second Line : PMB 217
City : TULSA
State : OK
Zip : 74104-4909
Country : US
Telephone Number : 918-744-2618
Fax Number : 918-293-3188
Provider Business Practice Location Address
First Line : 1515 N HARVARD AVE
Second Line : SUITE E
City : TULSA
State : OK
Zip : 74115-4957
Country : US
Telephone Number : 918-832-6049
Fax Number : 918-832-6055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 12/10/2009

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Directions to “ ANN E BARTOLONI MD” Practice Location

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