Individual
DR. ANDREW C BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Mailing address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G78297
CA
Other
Enumeration date
05/17/2006
Last updated
09/17/2013
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