MR. Ray Burton Bloss III, PA-C

NPI #1174733265 in Glendale, California

Provider Information

NPI Number: 1174733265
Entity Type: Individual
Name: MR. Ray Burton Bloss III, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 222 W EULALIA ST
Address 2: SUITE #101
City: Glendale
State: California
ZIP Code: 91204-2849
Phone: (818) 246-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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