Blew, Richard Mark

Blew, Richard Mark is an individual health care provider with primary practice located at 6567 E Carondelet Dr Suite 415, Tucson AZ 85710-2156. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blew, Richard Mark can be contacted via phone (520) 885-6701.

Contact Information

Primary practice address
6567 E Carondelet Dr Suite 415 Tucson AZ 85710-2156
Fax: (520) 885-9037
Website:

Profile Details

NPI number 1073576856
LBN Legal business name Blew, Richard Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jan 11th, 2010 - about 14 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 1073576856 NPPES
Arizona MEDICAID 224551-01

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