Individual
RICHARD A BLATNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 22ND ST, FAIRBURY, NE 68352-1221
(402) 729-3361
Mailing address
825 22ND ST, FAIRBURY, NE 68352-1221
(402) 729-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204390A
—
KS
Enumeration date
10/10/2005
Last updated
08/05/2016
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