Individual
DR. ROBERT C BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1717 E LINCOLN AVE, ANAHEIM, CA 92805-4345
(714) 635-2642
(714) 635-8547
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5360
(714) 635-5428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3369
CA
Other
Enumeration date
02/15/2006
Last updated
07/03/2017
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