Individual
CHRISTOPHER FREDERICK BLODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3902 LEAVENWORTH ST, OMAHA, NE 68105-1119
(402) 559-2020
(402) 559-2267
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31257
NE
207WX0107X
Retina Specialist (Ophthalmology) Physician
23468
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080010
—
IA
Enumeration date
03/09/2006
Last updated
02/03/2019
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