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Individual

DAN ISBELL BLUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 545-6831
(915) 545-6442
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6831
(915) 545-6442

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E2472
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114570804
TX
Enumeration date
07/19/2006
Last updated
12/19/2012
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