William Jay Blazes DO

NPI 1053465633 - Family Medicine - 207Q00000X

NPI Details
NPI 1053465633
Gender Male
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
132 MECHANIC ST
SPARTANSBURG PA, 16434-1026, US
Phone (814) 654-7334
Fax (814) 654-7553
Business Location
PO BOX 211
SPARTANSBURG PA, 16434-0211, US
Phone (814) 654-7334
Fax (814) 654-7553
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS0139982
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According to our database, Dr. William Jay Blazes DO NPI is 1053465633, taxonomy code is 207Q00000X and license number is OS0139982, license state is located at Pennsylvania. William Jay Blazes DO physically located at 132 Mechanic St, Spartansburg PA, 16434-1026. NPI Number William Jay Blazes DO has the Individual type.

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1053465633 NPI number is provided on an as is basis without warranty of any kind. 1053465633 is maintained by the National Plan & Provider Enumeration System. The contents of William Jay Blazes DO are for informational purposes only.