Individual
DR. GERALD BLALOCK DENNY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7147545-1205
UT
207R00000X
Internal Medicine Physician
7147545-8905
UT
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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