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Individual

DR. JASON MCLAIN BLYTHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2480 MISSION ST STE 327, SAN FRANCISCO, CA 94110-2463
(415) 824-3737
Mailing address
2480 MISSION ST, #327, SAN FRANCISCO, CA 94110-2468
(415) 824-3737
(415) 824-2107

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
4637
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174589527
NPI NUMBER
CA
01
5723780001
DME SUPPLIER NUMBER
CA
Enumeration date
04/25/2006
Last updated
03/18/2009
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