John D Blizzard, MD
Specialist in Bend, OR. Individual provider (NPI-1).
NPI number1497775498
StatusActive
Last updated in NPPESFeb 14, 2012
Details
- NPI
- 1497775498
- Entity type
- Individual (NPI-1)
- Name
- John D Blizzard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2006
- Last updated
- Feb 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD20638 | OR | Yes |
Practice location
2500 Ne Neff RdBend, OR 97701-6015
Phone 541-388-1636 · Fax 541-388-1719
Mailing address
Po Box 1420Redmond, OR 97756-0400
Phone 541-388-1636 · Fax 541-388-1719
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