Individual
JOHN WILLIAM BLOXDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2540 N 9TH ST, TERRE HAUTE, IN 47804-1102
(812) 466-1007
Mailing address
2540 N 9TH ST, TERRE HAUTE, IN 47804-1102
(812) 466-1007
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01021795A
IN
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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