Individual
DR. LEONARD PAUL BLASS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 841-9699
(330) 841-9569
Mailing address
340 N LINDEN CT, WARREN, OH 44484-6038
(330) 841-9609
(330) 841-9569
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-04-5525-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0647705
—
OH
Enumeration date
09/07/2005
Last updated
07/08/2007
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