Organization
ROBERT V. BLANCHE M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT V BLANCHE M.D. (OWNER)
(225) 928-2468
Entity
Organization
Contact information
Practice address
7865 JEFFERSON HWY, SUITE D, BATON ROUGE, LA 70809-1384
(225) 928-2468
(225) 928-2498
Mailing address
9655 PERKINS RD, C-104, BATON ROUGE, LA 70810-1533
(225) 928-2468
(225) 928-2498
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1353086
—
LA
01
—
50802
MEDICARE PTAN
LA
Enumeration date
08/10/2012
Last updated
08/10/2012
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