WILLIAM L BLEVINS

TIMOTHY D PETERSON, MD PC

Dr WILLIAM L BLEVINS is a male medical professional, specializing in Internal Medicine. He graduated in 1971 from Washington University School Of Medicine.

Contact

TIMOTHY D PETERSON, MD PC

108 SUTTON PLACE
TAOS SKI VALLEY
NM
875250000

Tel: 5757768421

WILLIAM L BLEVINS Information

Npi 1992762439
Pac Id 2769640606
Professional Enrollment Id I20120222001035
Last Name BLEVINS
First Name WILLIAM
Middle Name L
Suffix
Gender M
Credential
Medical School Name WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1971
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 HEMATOLOGY/ONCOLOGY
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties HEMATOLOGY/ONCOLOGY
Organization Legal Name TIMOTHY D PETERSON, MD PC
Group Practice Pac Id 5799805040
Number Of Group Practice Members 4
Line 1 Street Address 108 SUTTON PLACE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TAOS SKI VALLEY
State NM
Zip Code 875250000
Phone Number 5757768421
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Professional Accepts Medicare Assignment Y

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