Individual
GREGORY SCOTT BLASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31640-020
WI
208000000X
Pediatrics Physician
Primary
GFE 068252
CA
Other
Enumeration date
03/02/2006
Last updated
10/26/2011
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