Terra Rupert Blatnik in Saint Louis - Sports Medicine

Terra Rupert Blatnik - NPI 1508066317

Terra Rupert Blatnik is a Sports Medicine in Saint Louis, Missouri. Terra Rupert Blatnik practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Terra Rupert Blatnik is 1508066317. The last update date is 2021-11-15.

Terra Rupert Blatnik's current location address is 4921 Parkview Pl, Saint Louis, Missouri. You can contact this provider via phone number 3147472551 and fax number 3147472598. The mailing address for Terra Rupert Blatnik is 4921 Parkview Pl, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Terra Rupert Blatnik
Address 4921 Parkview Pl, Saint Louis, Missouri
Phone Number 3147472551
Fax Number 3147472598
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508066317
Provider Enumeration Date 2007-07-19
Last Updated Date 2021-11-15

Provider Mailing Address Detail

Address 4921 Parkview Pl
City Saint Louis
State Missouri (MO)
Post Code 631101032
Phone Number 3147472551
Fax Number 3147472598

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No 2015013430
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200023315 MO --

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FAQs about Terra Rupert Blatnik

What is the unique identifier code issued to Terra Rupert Blatnik by the Centers for Medicare & Medicaid Services (CMS)?

The Terra Rupert Blatnik has been assigned the NPI (National Provider Identifier) 1508066317. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Terra Rupert Blatnik?

The Terra Rupert Blatnik is physically situated at 4921 Parkview Pl, in the city of Saint Louis, state of MO, with the postal code 631101032.

What is the area of specialization for Terra Rupert Blatnik, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Terra Rupert Blatnik is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508066317 to Terra Rupert Blatnik?

The Centers for Medicare & Medicaid Services originally issued the 1508066317 to Terra Rupert Blatnik on 2007-07-19.

When was the information related to Terra Rupert Blatnik most recently updated or refreshed?

The details pertaining to the Terra Rupert Blatnik, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-15.

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