Individual
ROBERT D. BLUBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1730 14TH STREET, SUITE C, MERIDIAN, MS 39301
(601) 703-9600
(601) 703-9926
Mailing address
3622 PARKWAY BLVD, MERIDIAN, MS 39305-3868
(601) 482-6455
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
12682
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00019324
—
MS
Enumeration date
07/18/2006
Last updated
07/08/2007
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