MR. Walter R Blase, M.S., A.T.C

NPI #1376516617 in Atlanta, Georgia

Provider Information

NPI Number: 1376516617
Entity Type: Individual
Name: MR. Walter R Blase, M.S., A.T.C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: M.S., A.T.C
Enumeration Date: Feb 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 MARIETTA ST NW
Address 2: SUITE 1900
City: Atlanta
State: Georgia
ZIP Code: 30303-2720
Phone: (404) 878-3513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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