Individual
MATTHEW RUSSELL BLATTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FIRST FLOOR MEDICAL MALL 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1440
Mailing address
FIRST FLOOR MEDICAL MALL 9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1440
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101259696
VA
Other
Enumeration date
03/01/2014
Last updated
06/30/2025
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