Individual
DR. RICHARD MARK BLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6567 E CARONDELET DR, SUITE 415, TUCSON, AZ 85710-2156
(520) 885-6701
(520) 885-9037
Mailing address
6567 E CARONDELET DR, SUITE 415, TUCSON, AZ 85710-2119
(520) 885-6701
(520) 885-9037
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11757
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
11757
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
11757
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
11757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224551-01
—
AZ
Enumeration date
04/11/2006
Last updated
01/11/2010
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