Individual
COLLIN BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 PARNASSUS AVE, MOFFIT M1286, SAN FRANCISCO, CA 94143-2204
(415) 885-7276
(415) 353-9615
Mailing address
505 PARNASSUS AVE, MOFFIT M1286, SAN FRANCISCO, CA 94143-1270
(415) 885-7276
(415) 353-9615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190228
PA
207RH0003X
Hematology & Oncology Physician
Primary
A106689
CA
Other
Enumeration date
04/24/2007
Last updated
06/16/2009
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