MEDICARE: DR. MARTIN HANS BARTELS 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
1	207K00000X	Allergy & Immunology Physician	08768	AZ

General Provider Information

NPI Number	:	1417949710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN HANS BARTELS MD

Provider Business Mailing Address
First Line	:	6565 E CARONDELET DR
Second Line	:	STE 335
City	:	TUCSON
State	:	AZ
Zip	:	85710-2157
Country	:	US
Telephone Number	:	520-722-2022
Fax Number	:	520-290-6175

Provider Business Practice Location Address
First Line	:	6565 E CARONDELET DR
Second Line	:	STE 335
City	:	TUCSON
State	:	AZ
Zip	:	85710-2157
Country	:	US
Telephone Number	:	520-722-2022
Fax Number	:	520-290-6175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	12/06/2007

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