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Individual

EDWARD G BLAHOUS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1551 NW 54TH ST, SEATTLE, WA 98107-3845
(206) 782-3383
(206) 782-9585
Mailing address
1551 NW 54TH ST, SEATTLE, WA 98107-3845
(206) 782-3383
(206) 782-9585

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000573
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8205312
WA
Enumeration date
05/31/2006
Last updated
06/19/2013
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