Individual
RONALD J BLACHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4808 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-7000
(870) 934-3677
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 935-4150
(870) 934-5344
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C-5559
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110171001
—
AR
05
—
202589503
—
MO
Enumeration date
03/14/2006
Last updated
01/22/2014
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