NPI 1922314145 DR. BLAKE ANDREW WYLIE D.O. JULIAN CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Blake Andrew Wylie - NPI: 1922314145

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. BLAKE ANDREW WYLIE
NPI Number: 1922314145
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number: 20A11088
Business Practice Address: 2721 Washington Street
Julian, CA - 92036
Business Phone Number: 6193982405
Business Fax Number: 6193982412
Mailing Address: 2721 Washington Street,
JULIAN
State: CA
Postal Code: 92036
Phone Number: 7607651223
Fax Number: 7607651278
NPI Enumeration Date: 08/25/2010
NPI Last Update Date: 11/02/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207Q00000X
License Number: 20A11088
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Family Medicine
Taxonomy Specialization:
Taxonomy Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


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