Individual
JOHN BLICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(571) 231-2008
Mailing address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101267712
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101267712
VA
Other
Enumeration date
02/20/2018
Last updated
09/26/2025
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