Organization
CARDIOTHORACIC SURGEON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D BLIZZARD MD (EMPLOYEE)
(541) 388-1636
Entity
Organization
Contact information
Practice address
2705 NE CONNERS AVE, #100, BEND, OR 97701-6904
(541) 388-1636
Mailing address
2705 NE CONNERS AVE, #100, BEND, OR 97701-6904
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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