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Organization

TERRI BLACKSTOCK, MD, PA

Active
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Organization

TERRI BLACKSTOCK, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI BLACKSTOCK M.D. (OWNER)
(501) 623-7800
Entity
Organization

Contact information

Practice address
124 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(501) 623-7800
(501) 623-7866
Mailing address
124 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(501) 623-7800
(501) 623-7866

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146525002
AR
01
5K269
BCBS
AR
Enumeration date
07/06/2007
Last updated
01/28/2014
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