Individual
GEOFFREY A. BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 WABASH AVE, SPRINGFIELD, IL 62704-5352
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-060616
IL
207Q00000X
Family Medicine Physician
Primary
036060616
IL
Other
Enumeration date
08/30/2006
Last updated
05/20/2020
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