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
Phone: (520) 885-6701
Fax: (520) 885-9037
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 11757 | Arizona |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 11757 | Arizona |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 11757 | Arizona |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 11757 | Arizona |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073576856 | NPPES |
Arizona | MEDICAID | 224551-01 |
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