Individual
CODY DOUGLAS BLAZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1400 LOCUST ST, BUILDING B #9520, PITTSBURGH, PA 15219-5114
(412) 232-5515
Mailing address
1400 LOCUST ST, BUILDING B #9520, PITTSBURGH, PA 15219-5114
(412) 232-5515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006654
PA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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