Blaine A Tuft D.O.

NPI 1043284300 - Pediatrics - 2080P0206X

NPI Details
NPI 1043284300
Gender Male
Enumeration Date 02/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
45 PINE ST
1ST MED GROUP/SGHC
LANGLEY AFB VA, 23665-2025, US
Phone (757) 953-2983
Fax (757) 953-0868
Business Location
1604 WESTERLY CT
CHESAPEAKE VA, 23322-1285, US
Phone (757) 963-0045
Fax (757) 953-0868
Toxanomy
Taxonomy Code 2080P0206X
License State Idaho
License Number O-191
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According to our database, Blaine A Tuft D.O. NPI is 1043284300, taxonomy code is 2080P0206X and license number is O-191, license state is located at Idaho. Blaine A Tuft D.O. physically located at 45 Pine St, Langley Afb VA, 23665-2025. NPI Number Blaine A Tuft D.O. has the Individual type.

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1043284300 NPI number is provided on an as is basis without warranty of any kind. 1043284300 is maintained by the National Plan & Provider Enumeration System. The contents of Blaine A Tuft D.O. are for informational purposes only.