Individual
DR. LOUIS RICHARD BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
350 W THOMAS RD, RADIOLOGY DEPT., PHOENIX, AZ 85013-4409
(602) 406-6700
Mailing address
PO BOX 1010, MCCALL, ID 83638-1010
(208) 634-8647
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32131
AZ
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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