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NPI Code Detail

MEDICARE: RONALD E BLANTON M.D.

MEDICARE: RONALD E BLANTON 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
1207RI0200XInfectious Disease Physician35047704OH

General Provider Information

NPI Number : 1801933163
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD E BLANTON M.D.
Provider Business Mailing Address
First Line : WOLSTEIN RESEARCH BUILDING, W4133
Second Line : 2103 CORNELL ROAD
City : CLEVELAND
State : OH
Zip : 44106-7286
Country : US
Telephone Number : 216-368-4814
Fax Number : 216-368-4825
Provider Business Practice Location Address
First Line : LOUIS STOKES CLEVELAND VA MEDICAL CENTER
Second Line : 10701 EAST BOULEVARD
City : CLEVELAND
State : OH
Zip : 44106
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ RONALD E BLANTON M.D.” Practice Location

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