Individual
SCOTT BLANCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
1505 21ST ST W, BRADENTON, FL 34205-4752
(941) 920-2332
Mailing address
1505 21ST ST W, BRADENTON, FL 34205-4752
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
106726
FL
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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