Kent Alan Blade M.D.

NPI 1003864802 - Ophthalmology - 207W00000X

NPI Details
NPI 1003864802
Gender Male
Enumeration Date 05/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
34800 BOB WILSON DR
SAN DIEGO CA, 92134-1098, US
Phone (619) 532-6702
Fax (619) 532-7272
Business Location
5979 SEACREST VIEW RD
SAN DIEGO CA, 92121-4355, US
Phone (619) 532-6702
Fax (619) 532-7272
Toxanomy
Taxonomy Code 207W00000X
License State Pennsylvania
License Number MD 417456
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According to our database, Kent Alan Blade M.D. NPI is 1003864802, taxonomy code is 207W00000X and license number is MD 417456, license state is located at Pennsylvania. Kent Alan Blade M.D. physically located at 34800 Bob Wilson Dr, San Diego CA, 92134-1098. NPI Number Kent Alan Blade M.D. has the Individual type.

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1003864802 NPI number is provided on an as is basis without warranty of any kind. 1003864802 is maintained by the National Plan & Provider Enumeration System. The contents of Kent Alan Blade M.D. are for informational purposes only.