Individual
JUDEE LYNN BLAND
Active
Individual
JUDEE LYNN BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2006018976
MO
207R00000X
Internal Medicine Physician
Primary
2006018976
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111238
BLUE SHIELD
MO
05
—
206988107
—
MO
01
—
758908
HEALTHLINK
MO
01
—
P00342845
RR MEDICARE
MO
Enumeration date
09/15/2006
Last updated
10/11/2016
Update your record
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