Individual
MR. COLLIN THOMAS BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8118 CORPORATE WAY, MASON, OH 45040-7350
(513) 947-8433
Mailing address
5832 SUNSET RDG, GALLOWAY, OH 43119-8438
(614) 558-4944
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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