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Individual

BARRY G. BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1415 TULANE AVE, HC 71, NEW ORLEANS, LA 70112-2600
(504) 988-5800
(504) 988-7616
Mailing address
1415 TULANE AVE, HC 71, NEW ORLEANS, LA 70112-2600
(504) 988-5800
(504) 988-7616

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
017643
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116339
MS
05
009937094
AL
05
1389544
LA
Enumeration date
04/07/2006
Last updated
08/21/2008
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