Individual
RONALD J BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 JACKSON ST STE 115, ANDERSON, IN 46016-4386
(765) 643-6961
Mailing address
2101 JACKSON ST STE 115, ANDERSON, IN 46016-4386
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01032755
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345510B
—
IN
Enumeration date
08/20/2006
Last updated
05/25/2022
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