Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A110450 | CA |
NPI | 1174727952 |
---|---|
Provider Name | Dr. Erin Mckenzie Blevins |
First Address | San Diego, CA 92134-1098 |
Second Address | Philadephia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 11/04/2016 |