Individual
CHRISTOPHER BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
120 OCHSNER BLVD, GRETNA, LA 70056-5255
(504) 595-8020
(504) 391-8707
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
333584
LA
2086S0129X
Vascular Surgery Physician
MT213385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT213385
MEDICAL LICENSE
PA
Enumeration date
05/10/2017
Last updated
11/21/2022
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