Individual
NATHAN BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4357 FERGUSON DR, CINCINNATI, OH 45245-1760
(513) 474-4450
Mailing address
4357 FERGUSON DR, SUITE 150, CINCINNATI, OH 45245-1760
(513) 474-4450
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36.003894
OH
213E00000X
Podiatrist
36.003923
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
04/18/2016
Last updated
06/20/2023
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