Organization
PATRICK BLANCHARD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK A. BLANCHARD M.D. (OWNER)
(785) 456-8778
Entity
Organization
Contact information
Practice address
711 GENN DR, WAMEGO, KS 66547-1179
(785) 456-8778
(785) 456-6763
Mailing address
PO BOX 400, WAMEGO, KS 66547-0400
(785) 456-8778
(785) 456-6763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICARE GROUP
110795
KS
Enumeration date
09/28/2006
Last updated
02/11/2009
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