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NPI Code Detail

MEDICARE: STEVEN CHARLES BLASDELL M.D.

MEDICARE: STEVEN CHARLES BLASDELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician0101039494VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114929361
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN CHARLES BLASDELL M.D.
Provider Business Mailing Address
First Line : 3300 HIGH ST
Second Line : SUITE 1
City : PORTSMOUTH
State : VA
Zip : 23707-3321
Country : US
Telephone Number : 757-673-5680
Fax Number : 757-397-0236
Provider Business Practice Location Address
First Line : 3300 HIGH ST
Second Line : SUITE 1
City : PORTSMOUTH
State : VA
Zip : 23707-3321
Country : US
Telephone Number : 757-673-5680
Fax Number : 757-397-0236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/21/2025

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