Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2004-00031 | NC |
NPI | 1003176058 |
---|---|
Provider Name | Bartlett David Steen |
First Address | Hendersonville, NC 28791-3410 |
Second Address | Asheville, NC 28804-3415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2012 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NC0685A | MEDICARE PTAN (01) | NC |
P01530191 | RR MEDICARE (01) | NC |