Individual
DR. PHILIP J BLOUNT
Active
Individual
DR. PHILIP J BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154523
—
MS
01
—
302I257039
PTAN
MS
01
—
P00601559
RRCARE PTAN
MS
Enumeration date
06/02/2006
Last updated
03/07/2023
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