IndividualActive
Alan Bartlome, PA-C
NPI 1679272801 · Physician Assistant · Herriman, UT
Provider details
- NPI number
- 1679272801
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 376781-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13348 S Shaunna Ln
Herriman, UT 84096-4706
Phone: (801) 560-6881
Approximate (ZIP-level) locationGet directions
Mailing address
13348 S Shaunna Ln
Herriman, UT 84096-4706
Registry dates
- Enumerated
- 2023-02-27
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.