Provider Demographics
NPI:1811796345
Name:ADAM BLEGER MEDICAL
Entity type:Organization
Organization Name:ADAM BLEGER MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEGER
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:970-903-9768
Mailing Address - Street 1:10632 N SCOTTSDALE RD # B707
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6164
Mailing Address - Country:US
Mailing Address - Phone:970-903-9768
Mailing Address - Fax:
Practice Address - Street 1:10632 N SCOTTSDALE RD # B707
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6164
Practice Address - Country:US
Practice Address - Phone:970-903-9768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-08
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant