Individual
MARY L. FALLS BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4818 E 28TH ST, TUCSON, AZ 85711-6417
(602) 663-1615
Mailing address
4818 E. 28TH STREET, TUCSON, AZ 85711-6417
(602) 663-1615
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26195
AZ
Other
Enumeration date
12/29/2005
Last updated
10/19/2012
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