# DAVID E BLANCHARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780657791
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | J3743 | TX | — |
| 208D00000X | General Practice Physician | J3743 | TX | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 02/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 123163400 | — | WY |
| 05 | — | 1780657791 | — | WY |
| 01 | — | 314473 | BCWY | WY |
| 01 | — | 605960009 | USDLAB | WY |