Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | O-0817 | ID |
Y | 207RH0003X | Hematology & Oncology | O-0817 | ID |
N | 207RX0202X | Medical Oncology | O-0817 | ID |
NPI | 1245492768 |
---|---|
Provider Name | Dr. David Cadwell Bartels |
First Address | Coeur D Alene, ID 83814-2668 |
Second Address | Coeur D Alene, ID 83814-2668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 13/05/2021 |