Individual
BLAIN C ARTHURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 447-5500
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 447-5500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
025706
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044946
—
LA
Enumeration date
08/24/2006
Last updated
10/30/2009
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