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NPI Code Detail

MEDICARE: DR. PETER JAMES BLATZ MD

MEDICARE:  DR. PETER JAMES BLATZ  MD
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
1207R00000XInternal Medicine Physician0106407AIN
2207RI0200XInfectious Disease Physician23646MS
3207RI0200XInfectious Disease Physician54902TN

General Provider Information

NPI Number : 1134204662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER JAMES BLATZ MD
Provider Business Mailing Address
First Line : 4095 AMERICAN WAY
Second Line : SUITE 1
City : MEMPHIS
State : TN
Zip : 38118-8339
Country : US
Telephone Number : 901-271-9500
Fax Number :
Provider Business Practice Location Address
First Line : 2574 FRAYSER BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38127-5829
Country : US
Telephone Number : 901-271-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 08/07/2024

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Directions to “ DR. PETER JAMES BLATZ MD” Practice Location

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