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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