Individual
JOE GLENN BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
565 RADIO HILL RD, MARION, VA 24354-6587
(276) 783-1234
Mailing address
1048 TERRACE DR, MARION, VA 24354-4138
(276) 783-8231
(276) 783-2879
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101035540
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065693
ANTHEM BCBS
VA
01
—
1127411
UMWA
VA
01
—
268204
SOUTHERN HEALTH
VA
Enumeration date
04/06/2006
Last updated
10/25/2007
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