Individual
STEPHEN PAUL BLANCHARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 327-4105
(318) 327-4423
Mailing address
PO BOX 3780, TUPELO, MS 38803-3780
(601) 553-6810
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
017802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174524367
CAQH
—
05
—
1387584
—
LA
Enumeration date
08/10/2005
Last updated
02/14/2020
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