Individual
STEPHEN HILL BLAYDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1109 W CUMBERLAND RD, BLUEFIELD, WV 24701-4562
(304) 327-8128
(304) 327-5912
Mailing address
1109 W CUMBERLAND RD, PO BOX 1380, BLUEFIELD, WV 24701-4562
(304) 327-8128
(304) 327-5912
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
175974
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095897000
—
WV
01
—
180031610
RR MEDICARE
—
Enumeration date
07/06/2006
Last updated
12/19/2011
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