Individual
MR. BLAIR JONATHON TATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
303 W LINCOLN AVE, ANAHEIM, CA 92805-2936
(714) 956-2002
Mailing address
800 MELROSE HILL ST, LOS ANGELES, CA 90029-3714
(323) 363-7165
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14791
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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