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NPI Profile for LAURA P BLY in PEORIA, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
163WS0200X | |||
Gastroenterology |
163WG0100X |
| NPI # | 1124878921 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/25/2024 | |
| Last updated | 03/25/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURA P BLY
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LAURA P BLY