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Individual
MR. ARTHUR ANTHONY BLAIN IV
Active
Individual
MR. ARTHUR ANTHONY BLAIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A63511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A635110
BLUE SHIELD
CA
01
—
CB228972
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER PTAN
—
01
—
P01455185
RAILROAD
—
Enumeration date
07/19/2006
Last updated
08/25/2023
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