Individual
MR. DOUGLAS ANTHONY BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4750
Mailing address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4750
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
AA2000013
DC
367H00000X
Anesthesiologist Assistant
Primary
AA942
FL
Other
Enumeration date
02/19/2021
Last updated
09/27/2024
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