Individual
DR. GARY WAYNE BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1270 ATTAKAPAS DR, STE 502, OPELOUSAS, LA 70570-6530
(337) 942-9977
(337) 942-8006
Mailing address
1270 ATTAKAPAS DR, STE 502, OPELOUSAS, LA 70570-6530
(337) 942-9977
(337) 942-8006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09513R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1955124
—
LA
Enumeration date
06/10/2005
Last updated
06/24/2010
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