Individual
DR. WILLIAM F BLANK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
221 S MAIN, CHAFFEE, MO 63740
(573) 887-3632
(573) 887-3635
Mailing address
221 S MAIN ST, PO BOX 216, CHAFFEE, MO 63740-1040
(573) 887-3632
(573) 887-3635
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
34699
MO
207ZD0900X
Dermatopathology (Pathology) Physician
—
IL
Other
Enumeration date
01/18/2006
Last updated
07/08/2007
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