Stamper, Blake A

Stamper, Blake A is an individual health care provider with primary practice located at 2000 Highway 95 Suite 200, Bullhead City AZ 86442-6050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Stamper, Blake A can be contacted via phone (928) 758-1175.

Contact Information

Primary practice address
2000 Highway 95 Suite 200 Bullhead City AZ 86442-6050
Phone: (928) 758-1175
Fax: (928) 758-5191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2533 Arizona

Profile Details

NPI number 1225003700
LBN Legal business name Stamper, Blake A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Dec 6th, 2007 - about 17 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 1225003700 NPPES
Arizona MEDICAID 130493

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