Individual
DR. STEVEN MICHAEL BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 WINDOVER, JONESBORO, AR 72401-6159
(870) 935-5432
(870) 935-4887
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 336-1485
(870) 336-1484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5560
AR
207Q00000X
Family Medicine Physician
C5560
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101818001
—
AR
01
—
16433000000
QUALCHOICE
AR
Enumeration date
04/08/2006
Last updated
05/20/2013
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