Blattner, Larry Mark

Blattner, Larry Mark is an individual health care provider with primary practice located at 2000 West Bethany Home Road Phoenix Baptist Hospital, Phoenix AZ 85015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Blattner, Larry Mark can be contacted via phone (480) 731-4714.

Contact Information

Primary practice address
2000 West Bethany Home Road Phoenix Baptist Hospital Phoenix AZ 85015
Phone: (480) 731-4714
Fax: (480) 731-5425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO2336 Arizona

Profile Details

NPI number 1992787998
LBN Legal business name Blattner, Larry Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992787998 NPPES
Arizona MEDICAID 299059

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