Individual
DR. CARL F BLATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7344
(636) 239-9436
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-7344
(636) 239-9436
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3D62
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100013864
RAILROAD MEDICARE
—
05
—
207847906
—
MO
Enumeration date
06/10/2006
Last updated
01/18/2012
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