Organization
HIGH DESERT HEMATOLOGY ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURY BLITMAN MD (PRESIDENT)
(505) 983-4898
Entity
Organization
Contact information
Practice address
460 SAINT MICHAELS DR, SUITE 1204, SANTA FE, NM 87505-7619
(505) 983-4898
Mailing address
460 SAINT MICHAELS DR, SUITE 1204, SANTA FE, NM 87505-7619
(801) 560-1566
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2003-0406
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396713095
INDIVIDUAL NPI
NM
Enumeration date
04/24/2007
Last updated
07/10/2007
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