Individual
STEPHANIE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-8090
(740) 383-7079
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34015523
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
34015523
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480884
—
OH
Enumeration date
03/22/2019
Last updated
06/04/2024
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