Organization
UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BLAZ (NURSE PRACTITIONER)
(301) 295-1764
Entity
Organization
Contact information
Practice address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
(301) 295-1764
Mailing address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4712
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
210913
NC
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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