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Individual

DR. DAVID G BLANCHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
444 FOUR STATES DR, STE 1, GALENA, KS 66739-4324
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006185
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
2013028529
MO

Other

Enumeration date
06/28/2010
Last updated
08/13/2013
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