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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM LEONARD BLEVINS, MD

Deactivated

WILLIAM LEONARD BLEVINS, MD is a Internal Medicine healthcare provider located in TAOS SKI VALLEY, New Mexico. NPI 1992762439 is deactivated in the NPPES registry. Verify at CMS.

Internal Medicine · TAOS SKI VALLEY, NM

This NPI has been deactivated. The record was deactivated on July 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1992762439
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2006 (1.2213114754098 yrs)
Last Updated
Jan 10, 2008
Deactivated
Jul 17, 2007
Licenses
7390 (NM)
6464 (MT)
2700 (AK)
M4320 (ID)

Practice Information

Address
101 OCEAN BLVD
MOGUL MEDICAL URGENT CARE
TAOS SKI VALLEY, NM, 875250067
Browse NM providers · Browse ZIP 87525
Phone
5757768421
Fax
5757768942
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Medical Oncology
Additional Specialty
Medical Oncology
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.