Individual
DR. ROBERT L BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 471-2751
(504) 471-2764
Mailing address
4494 TWINVIEW LN, ORLANDO, FL 32814-6057
(504) 239-0301
(504) 471-2764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13193R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012799
—
LA
Enumeration date
01/26/2007
Last updated
07/09/2007
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