Organization
CAPITOL CITY EMERGENCY STAFFING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H BLEWETT M.D. (PRESIDENT)
(512) 258-0424
Entity
Organization
Contact information
Practice address
1615 GRAND AVENUE PKWY, PFLUGERVILLE, TX 78660-2059
(512) 258-0424
Mailing address
PO BOX 96118, OKLAHOMA CITY, OK 73143-6118
(800) 962-3303
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
03/31/2015
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