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Dr. Roger M Blauvelt, MD
Specialist in Auburn, Washington
NPI 1932187341

Roger M Blauvelt is a Specialist based in Auburn, WA. Roger M Blauvelt practices in Auburn, WA and has the professional credentials of MD. The NPI Number for Roger M Blauvelt is 1932187341 and holds a License No. MD00034945 (Washington).

The current practice location address for Roger M Blauvelt is 122 3Rd St Ne, Auburn, WA and can be reached out via phone at 253-833-7750 and via fax at 253-833-7469.

Location: 122 3Rd St Ne, Auburn, WA, 98002-4013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932187341
Provider Name
Roger M Blauvelt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
122 3Rd St Ne, Auburn, WA, 98002-4013
Phone Number
253-833-7750
Fax Number
253-833-7469
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5677BL 01 WA REGENCE
172908 01 WA LABOR & INDUSTRIES
GAB38443 01 WA MEDICARE LEGACY
1101260 01 WA DSHS
1101260 05 WA
institution
Provider Business Practice Location Address Details
Address
122 3Rd St Ne
City
Auburn
State
Washington
Zip
98002-4013
Phone Number
253-833-7750
Fax Number
253-833-7469
person
Provider Business Mailing Address Details
Address
122 3Rd St Ne
City
Auburn
State
Washington
Zip
98002-4013
Phone Number
253-833-7750
Fax Number
253-833-7469
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00034945 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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