Individual
CHRISTOPHER L BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 E WASHINGTON STREET, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Mailing address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G61733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G617330
BLUE CROSS
CA
05
—
00G617330
—
CA
Enumeration date
05/27/2005
Last updated
02/21/2020
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