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Individual

DR. PETER L BLANC

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1677
(812) 424-8231
(812) 435-8782
Mailing address
520 MARY ST, SUITE 520, EVANSVILLE, IN 47710-1677
(812) 424-8231
(812) 435-8782

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01058448A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64081748
KY
Enumeration date
07/21/2005
Last updated
07/08/2007
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