Individual
CAROL L BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2458 NEW MARKET BANTA RD, WEST ALEXANDRIA, OH 45381-9708
(937) 371-7490
(937) 632-2606
Mailing address
2458 NEW MARKET BANTA RD, WEST ALEXANDRIA, OH 45381-9708
(937) 371-7490
(937) 632-2606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073056B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061174
—
OH
Enumeration date
08/30/2006
Last updated
11/20/2025
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