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Individual

WILLIAM LEONARD BLEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 OCEAN BLVD, MOGUL MEDICAL URGENT CARE, TAOS SKI VALLEY, NM 87525-0067
(575) 776-8421
(575) 776-8942
Mailing address
PO BOX 1108, 45 CALLE DE CONEJO WILLIAM L BLEVINS MD, EL PRADO, NM 87529-1108
(575) 776-8669
(575) 776-8669

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7390
NM
207R00000X
Internal Medicine Physician
M4320
ID
207RX0202X
Medical Oncology Physician
2700
AK
207RX0202X
Medical Oncology Physician
6464
MT

Other

Enumeration date
04/27/2006
Last updated
01/10/2008
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