Individual
JOSEPH VINCENT VALENTINO BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR, SUITE C300, GREENVILLE, SC 29615-3593
(864) 454-8272
(864) 454-2875
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
36815
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368159
—
SC
Enumeration date
05/11/2009
Last updated
06/13/2022
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