Douglas John Blatz in Campbell - Sports Medicine
Douglas John Blatz - NPI 1073582649
Douglas John Blatz is a Sports Medicine in Campbell, California. Douglas John Blatz practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Douglas John Blatz is 1073582649. The last update date is 2013-07-19.
Douglas John Blatz's current location address is 221 E Hacienda Ave Ste C, Campbell, California. You can contact this provider via phone number 4083745700 and fax number 4083745835. The mailing address for Douglas John Blatz is 221 E Hacienda Ave Ste C, Campbell, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas John Blatz |
|---|---|
| Address | 221 E Hacienda Ave Ste C, Campbell, California |
| Phone Number | 4083745700 |
| Fax Number | 4083745835 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073582649 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2013-07-19 |
Provider Mailing Address Detail
| Address | 221 E Hacienda Ave Ste C |
|---|---|
| City | Campbell |
| State | California (CA) |
| Post Code | 950086625 |
| Phone Number | 4083745700 |
| Fax Number | 4083745835 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G30769 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G30769 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas John Blatz?
The Douglas John Blatz has been issued the NPI (National Provider Identifier) 1073582649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Douglas John Blatz?
The Douglas John Blatz is physically situated at 221 E Hacienda Ave Ste C, in the city of Campbell, state of CA, with the postal code 950086625.
What is Douglas John Blatz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas John Blatz's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date was the 1073582649 assigned to Douglas John Blatz?
The Douglas John Blatz was issued its 1073582649 on 2006-03-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Douglas John Blatz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas John Blatz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-19.
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