Individual
DR. STEPHEN PATRICK BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 STRAIGHT STREET, SUITE 400, CINCINNATI, OH 45219-1069
(513) 624-0934
(513) 624-0999
Mailing address
PO BOX 636799, CINCINNATI, OH 45263-6799
(513) 569-6422
(513) 569-5199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OH3556734
OH
207RI0200X
Infectious Disease Physician
Primary
3556734
OH
207RI0200X
Infectious Disease Physician
OH3556734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116832
—
OH
01
—
1013066281
NPI GROUP
OH
01
—
IN9310411
MEDICRE GROUP
OH
Enumeration date
04/20/2006
Last updated
08/07/2013
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