Individual
GERARD V. BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MISSION BOULEVARD, JACKSON, CA 95642-2564
(209) 223-7500
Mailing address
P.O. BOX 11949, WESTMINSTER, CA 92685-1949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G79746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G797460
—
CA
Enumeration date
08/16/2006
Last updated
04/02/2008
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