Individual
MR. BLAINE CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 BAIR ISLAND RD APT 401, REDWOOD CITY, CA 94063-5550
(480) 452-6901
Mailing address
710 BAIR ISLAND RD APT 401, REDWOOD CITY, CA 94063-5550
(480) 452-6901
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
D02509144
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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