Individual
DAN GERMAN BLAZER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008-00828
NC
2086X0206X
Surgical Oncology Physician
2008-00828
NC
2086X0206X
Surgical Oncology Physician
M3474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916303
—
NC
Enumeration date
07/20/2006
Last updated
10/06/2025
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