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Dr. Jonathan William Blevins, MD
Diagnostic Radiology Physician in Rancho Mirage, California
NPI 1477710127

Jonathan William Blevins is a Diagnostic Radiology Physician based in Reno, CA and is specialized in Diagnostic Radiology. Jonathan William Blevins practices in Rancho Mirage, CA and has the professional credentials of MD. The NPI Number for Jonathan William Blevins is 1477710127 and holds a License No. MT189054 (California).

The current practice location address for Jonathan William Blevins is 39000 Bob Hope Dr Dept Of, Rancho Mirage, CA and can be reached out via phone at 949-263-8620 and via fax at 800-409-7005.

Location: 39000 Bob Hope Dr Dept Of, Rancho Mirage, CA, 89511-0550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477710127
Provider Name
Jonathan William Blevins
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
39000 Bob Hope Dr Dept Of, Rancho Mirage, CA, 89511-0550
Phone Number
949-263-8620
Fax Number
800-409-7005
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477710127 05 CA
00A1177640 01 CA BC/BS OF CA
institution
Provider Business Practice Location Address Details
Address
39000 Bob Hope Dr Dept Of
City
Rancho Mirage
State
California
Zip
92270-3221
Phone Number
949-263-8620
Fax Number
800-409-7005
person
Provider Business Mailing Address Details
Address
39000 Bob Hope Dr Dept Of
City
Rancho Mirage
State
California
Zip
92270-3221
Phone Number
949-263-8620
Fax Number
800-409-7005
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MT189054 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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