Individual
DR. ADRIAN BRIAN BLOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0371
(352) 265-0301
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
017644
LA
2084P0800X
Psychiatry Physician
40747
TN
2084P0800X
Psychiatry Physician
Primary
ME120403
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374768
—
LA
05
—
3732787
—
TN
Enumeration date
08/18/2005
Last updated
06/26/2014
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