Organization
EMERGENCY PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BLASENAK D.O. (MEMBER)
(864) 991-6156
Entity
Organization
Contact information
Practice address
2498 N PLEASANTBURG DR, GREENVILLE, SC 29609-2730
(864) 305-5000
Mailing address
2498 N PLEASANTBURG DR, GREENVILLE, SC 29609-2730
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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