Individual
JULIAN BLALOCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 MANHATTAN SQUARE, HAMPTON, VA 23666
(757) 595-0358
(757) 595-6745
Mailing address
23 MANHATTAN SQUARE, HAMPTON, VA 23666
(757) 595-0358
(757) 595-6745
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101037722
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6797059
—
VA
Enumeration date
06/15/2005
Last updated
08/28/2024
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