Individual
MATTHEW BLEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
1000 6TH ST SW APT 311, WASHINGTON, DC 20024-2669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001192
DC
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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