Individual provider · NPI-1

Dr. Steve John Blivin, MD

Family Medicine, Sports Medicine · Camp Lejeune, NC

NPI number1407821630

StatusActive

Last updated in NPPESApr 17, 2009

Details

NPI: 1407821630
Entity type: Individual (NPI-1)
Name: Dr. Steve John Blivin
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Feb 21, 2006
Last updated: Apr 17, 2009

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QS0010X	Family Medicine, Sports Medicine	0101231914	VA	Yes

Practice location

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Phone 910-450-4136 · Fax 910-450-4558

Mailing address

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Phone 910-450-4136 · Fax 910-450-4558

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.