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Individual

DR. BRADLEY MICHAEL BLAPPERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
539 BERTRAND DR, LAFAYETTE, LA 70506-5556
(337) 294-1230
(833) 749-0347
Mailing address
539 BERTRAND DR, LAFAYETTE, LA 70506-5556
(337) 294-1230
(833) 749-0347

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022254
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225247455
NPI
LA
05
1239364
LA
Enumeration date
05/22/2007
Last updated
12/03/2021
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