Organization
BLODGETT DERMATOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI L BLODGETT (SECY/TREASURER)
(740) 779-6061
Entity
Organization
Contact information
Practice address
6 MEDICAL DRIVE, CHILLICOTHE, OH 45601-8603
(740) 779-6061
(740) 779-0487
Mailing address
6 MEDICAL DRIVE, CHILLICOTHE, OH 45601-8603
(740) 779-6061
(740) 779-0487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35073950
OH
Other
Enumeration date
07/18/2007
Last updated
07/20/2007
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