Individual
EARL J BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 W JACKSON ST STE B, RIDGELAND, MS 39157-2402
(601) 354-4327
(601) 360-0822
Mailing address
113 W JACKSON ST STE B, RIDGELAND, MS 39157-2402
(601) 354-4327
(601) 360-0822
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15462
MS
2085R0202X
Diagnostic Radiology Physician
036172328
IL
2085R0202X
Diagnostic Radiology Physician
Primary
15462
MS
2085R0202X
Diagnostic Radiology Physician
EMC0005918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118752
—
MS
Enumeration date
10/10/2006
Last updated
10/23/2024
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