Individual
PAULETTE M BLANCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2296
(970) 641-1456
Mailing address
1 MERCADO ST, SUITE 100, DURANGO, CO 81301-7306
(970) 385-7977
(970) 385-6727
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
06958R
LA
207RH0003X
Hematology & Oncology Physician
M11800
ID
207RX0202X
Medical Oncology Physician
Primary
52864
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912824
—
LA
01
—
900004235
RAILROAD MEDICARE
LA
Enumeration date
10/10/2005
Last updated
01/24/2020
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