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NPI Code Detail

MEDICARE: WILLIAM L BARTHOLOMEW M.D.

MEDICARE: WILLIAM L BARTHOLOMEW M.D.
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
1207Q00000XFamily Medicine Physician13614AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285626754
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM L BARTHOLOMEW M.D.
Provider Business Mailing Address
First Line : 2202 N FORBES BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-1412
Country : US
Telephone Number : 520-285-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1171 W TARGET RANGE RD
Second Line :
City : NOGALES
State : AZ
Zip : 85621-2415
Country : US
Telephone Number : 520-285-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 02/04/2025

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