Individual
JOSEPH STEPHEN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 LINCOLNSHIRE DR, MINERAL WELLS, WV 26150-6006
(304) 532-5850
Mailing address
645 LINCOLNSHIRE DR, MINERAL WELLS, WV 26150-6006
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
75670
WV
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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