WAYNE BLEVINS JR.

Emergency Medicine

Active Individual
NPI: 1902803869

Practice Address

11574 RT 108
Carlinville, IL 62626

Phone: (217) 854-4319

Specialties

Specialty Code Primary License
Emergency Medicine 207P00000X Yes PA2642 (FL)
Physician Assistant 363A00000X No 085004267 (IL)

Frequently Asked Questions

NPI 1902803869 is the National Provider Identifier for WAYNE BLEVINS JR., a Emergency Medicine provider located in Carlinville, IL. This NPI was enumerated on July 6, 2005.
WAYNE BLEVINS JR. practices at 11574 RT 108, Carlinville, IL 62626.

Quick Facts

NPI
1902803869
Type
Individual
Enumerated
Jul 6, 2005
Last Updated
Apr 23, 2015

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