Individual
DR. GUSTAV A BLOMQUIST
Active
Individual
DR. GUSTAV A BLOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010-00231
NC
2085R0202X
Diagnostic Radiology Physician
20968
MS
2085R0202X
Diagnostic Radiology Physician
29216
AL
2085R0202X
Diagnostic Radiology Physician
32233.MD
SC
2085R0202X
Diagnostic Radiology Physician
Primary
3441
WV
2085R0202X
Diagnostic Radiology Physician
35.152015
OH
2085R0202X
Diagnostic Radiology Physician
43773
KY
2085R0202X
Diagnostic Radiology Physician
63634
GA
2085R0202X
Diagnostic Radiology Physician
M6052
TX
2085R0202X
Diagnostic Radiology Physician
MD0000045451
TN
2085R0202X
Diagnostic Radiology Physician
ME107556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100126970
—
KY
Enumeration date
04/20/2007
Last updated
10/25/2024
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