TIFFANY BLAZ

GENESIS MEDICAL GROUP, LLC

Dr TIFFANY BLAZ is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

GENESIS MEDICAL GROUP, LLC

2800 MAPLE AVE
SUITE 100P
ZANESVILLE
OH
437011716

Tel: 7404544585

TIFFANY BLAZ Information

Npi 1942721741
Pac Id 9133491418
Professional Enrollment Id I20170822000476
Last Name BLAZ
First Name TIFFANY
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GENESIS MEDICAL GROUP, LLC
Group Practice Pac Id 7719040385
Number Of Group Practice Members 207
Line 1 Street Address 2800 MAPLE AVE
Line 2 Street Address SUITE 100P
Marker Of Address Line 2 Suppression
City ZANESVILLE
State OH
Zip Code 437011716
Phone Number 7404544585
Hospital Affiliation Ccn 1 360039
Hospital Affiliation Lbn 1 GENESIS HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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