Individual
DR. HERMAN MACK BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7338
(812) 450-2193
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01077468A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033102705
—
TX
01
—
1255391413
SCOTT AND WHITE HEALTH PLAN
TX
01
—
8V4241
BCBS TX
TX
01
—
P00466542
RR MEDICARE
TX
Enumeration date
03/23/2006
Last updated
08/24/2016
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