Individual
WILLIAM BLASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2390 E FLORIDA AVE, #207, HEMET, CA 92544-4707
(951) 652-6100
(951) 658-7548
Mailing address
2390 E FLORIDA AVE, 207, HEMET, CA 92544-4707
(951) 652-6100
(951) 658-7548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G50680
CA
207W00000X
Ophthalmology Physician
Primary
G50680
CA
Other
Enumeration date
05/11/2006
Last updated
04/08/2013
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