Individual
DEWEY WRIGHT BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1332
(985) 230-1334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.013757
LA
207Q00000X
Family Medicine Physician
MD.013757
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03551399
—
MS
01
—
080119145
RR MEDICARE NUMBER
—
05
—
1171573
—
LA
Enumeration date
07/07/2006
Last updated
07/21/2022
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