Individual
DAVID W. BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223
Mailing address
PO BOX 6068, LINCOLN, NE 68506-0068
(402) 484-9000
(402) 483-4223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30073
NE
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
30073
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30073
STATE LICENSE
NE
Enumeration date
10/05/2005
Last updated
09/28/2020
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