Kent Alan Blade, M.D.

NPI #1003864802 in San Diego, California

Provider Information

NPI Number: 1003864802
Entity Type: Individual
Name: Kent Alan Blade, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 34800 BOB WILSON DR
City: San Diego
State: California
ZIP Code: 92134-1098
Phone: (619) 532-6702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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