Individual
THOMAS P BLODGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 HIDDEN VALLEY DR, BIDWELL, OH 45614-9591
(740) 446-7623
(740) 446-7643
Mailing address
39 HIDDEN VALLEY DR, BIDWELL, OH 45614-9591
(740) 446-7623
(740) 446-7643
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
35073950B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065394
—
OH
Enumeration date
10/19/2006
Last updated
04/13/2010
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