Individual
DR. DOUGLAS JOHN BLATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 E HACIENDA AVE STE C, CAMPBELL, CA 95008-6625
(408) 374-5700
(408) 374-5835
Mailing address
221 E HACIENDA AVE STE C, CAMPBELL, CA 95008-6625
(408) 374-5700
(408) 374-5835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G30769
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G30769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G30769
—
CA
Enumeration date
03/16/2006
Last updated
07/19/2013
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