Bruce Robert Blazar in Minneapolis - Pediatrics
Bruce Robert Blazar - NPI 1003842162
Bruce Robert Blazar is a Pediatrics in Minneapolis, Minnesota. Bruce Robert Blazar practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bruce Robert Blazar is 1003842162. The last update date is 2012-10-24.
Bruce Robert Blazar's current location address is 420 Delaware Street Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126262961 and fax number 6126264074. The mailing address for Bruce Robert Blazar is 420 Delaware Street Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Robert Blazar |
|---|---|
| Address | 420 Delaware Street Se, Minneapolis, Minnesota |
| Phone Number | 6126262961 |
| Fax Number | 6126264074 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003842162 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2012-10-24 |
Provider Mailing Address Detail
| Address | 420 Delaware Street Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55455 |
| Phone Number | 6126262961 |
| Fax Number | 6126264074 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 25330 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1008985 | MN | PREFERRED ONE | |
| 2086719301 | KS | -- | |
| 30695100 | WI | -- | |
| 761878600 | MN | -- | |
| 7777470 | SD | -- | |
| 1986259 | LA | -- | |
| 132947 | MN | UCARE | |
| 243838 | OH | -- | |
| 10387 | ND | -- | |
| 768027 | MN | ARAZ |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bruce Robert Blazar by the Centers for Medicare & Medicaid Services?
The Bruce Robert Blazar has been issued the NPI (National Provider Identifier) 1003842162 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bruce Robert Blazar?
The Bruce Robert Blazar is situated at 420 Delaware Street Se, in the city of Minneapolis, state of MN, with the zip code 55455.
What is the Bruce Robert Blazar's area of specialization and corresponding taxonomy classification?
The Bruce Robert Blazar's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003842162 to Bruce Robert Blazar?
The Centers for Medicare & Medicaid Services originally issued the 1003842162 to Bruce Robert Blazar on 2006-06-23.
As of what date was the information pertaining to Bruce Robert Blazar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bruce Robert Blazar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-24.
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