Individual
BLAYNE L FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 MONROE AVE, HELENA, MT 59601-2652
(406) 431-5781
Mailing address
PO BOX 1929, HELENA, MT 59624-1929
(406) 594-0880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
143824
AK
208000000X
Pediatrics Physician
Primary
7761
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801862412
—
MT
Enumeration date
02/23/2006
Last updated
01/28/2020
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