Individual
DR. MELVIN S BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 CHILDRENS PL, SAINT LOUIS, MO 63110-1000
(314) 362-5060
(314) 362-6959
Mailing address
660 S EUCLID AVE, CB 8121, SAINT LOUIS, MO 63110-1010
(314) 362-5060
(314) 362-6959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105999
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205721616
—
MO
05
—
ENROLLED
—
IL
Enumeration date
09/20/2006
Last updated
07/19/2019
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