Organization
ANTHONY I BLANCHARD DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ISAAC BLANCHARD D.P.M. (PODIATRIST)
(337) 356-3905
Entity
Organization
Contact information
Practice address
1555 GARY DR, BREAUX BRIDGE, LA 70517-3448
(337) 806-3349
(337) 909-2216
Mailing address
232 SAINT PIERRE BLVD, CARENCRO, LA 70520-3914
(337) 356-3905
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PD140R
LA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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