Provider Demographics
NPI:1881887263
Name:MCCAFFREY, BLAYNE H (DPM)
Entity type:Individual
Prefix:DR
First Name:BLAYNE
Middle Name:H
Last Name:MCCAFFREY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:1310 N 13TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-2592
Mailing Address - Country:US
Mailing Address - Phone:402-371-5530
Mailing Address - Fax:402-371-5530
Practice Address - Street 1:1310 N 13TH ST STE 2
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2592
Practice Address - Country:US
Practice Address - Phone:402-371-5530
Practice Address - Fax:844-224-9500
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL016.005498213ES0103X
MN834213ES0103X
NE352213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery