DR. John Anthony Blue Star

NPI #1750708863 in Lackland Afb, Texas

Provider Information

NPI Number: 1750708863
Entity Type: Individual
Name: DR. John Anthony Blue Star
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Health
Enumeration Date: Mar 26, 2014
Last Updated: Sep 13, 2020

Practice Location

Address: 1100 WILFORD HALL LOOP
City: Lackland Afb
State: Texas
ZIP Code: 78236-5638
Phone: (210) 292-7361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Health — Health	103TH0004X	Primary

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