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Individual

STANLEY A BLEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21477
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0020743
IA
05
0215376
IA
05
1020743
IA
05
1093791030
IA
01
110144452
RR MEDICARE
IA
Enumeration date
12/21/2005
Last updated
07/17/2013
Update your record

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