Individual
JUDEE LYNN BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1119 HILLDALE CIR, CAPE GIRARDEAU, MO 63701-3517
(573) 424-9075
Mailing address
1119 HILLDALE CIR, CAPE GIRARDEAU, MO 63701-3517
(573) 424-9075
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
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