Individual
DR. ANTHONY LEE BLANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 1ST AVE, SUITE 600, FAIRBANKS, AK 99701-4803
(907) 459-3800
Mailing address
1215 BALDWIN CORNERS RD, FORT ANN, NY 12827-4923
(907) 799-9231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AA3540
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1881
—
AK
Enumeration date
01/08/2007
Last updated
02/07/2012
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