Phillip Blotevogel is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Phillip Blotevogel NPI is 1346701109. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO
ZIP 63104-004
Phone: (314) 577-8317
Fax: (314) 268-5466
The NPI 1346701109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.