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MATTHEW CHARLES BLUNDELL MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073511796

Individual Registrant:
 MATTHEW CHARLES BLUNDELL MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1771 NORTHCREST DR  CRESCENT CITY, CA 95531-8922 US
Tel: 707-465-8666  Fax: 707-465-8650

Contact information for business:
1771 NORTHCREST DR  CRESCENT CITY, CA 95531-8922 US
Tel: 707-465-8666  Fax: 707-465-8650

Registration Information:
NPI: 1073511796
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA62659

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A626590CA05
NORIDIAN103292OR01




HEALTH CARE JOBS CA - Page 1



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