Search › South Carolina › 363LF0000X
Daniel Blaz, FNP-BC
NPI 1881786879 · on the registry since 2006
Practice
- Address
- 431 Meadowlark St
Shaw Afb, SC 29152 - Phone
- (803) 885-7976
- Organisation at this address
- 20th Medgrp-Shaw
20th Medgrp-ShawInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 2480 Llewellyn Ave, Fort Meade, MD
- 1 Gabreski Dr, Shaw Afb, SC
- 4301 Jones Bridge Rd, Bethesda, MD
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina