Individual
DR. STEPHEN BROCK BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-1100
(276) 258-1125
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-1100
(276) 258-1125
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101241415
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801800982
—
VA
Enumeration date
07/27/2006
Last updated
06/23/2021
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