Individual
DR. BRADLEY S. BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350-4438
(209) 577-3388
(209) 575-3085
Mailing address
1541 FLORIDA AVE STE 200, MODESTO, CA 95350-4438
(209) 577-3388
(209) 575-3085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G75672
CA
Other
Enumeration date
05/26/2006
Last updated
01/24/2024
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