Organization
JUDITH C BLAISE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE JONES ADAMS (MANAGER)
(985) 447-6444
Entity
Organization
Contact information
Practice address
604 N ACADIA RD, SUITE 202, THIBODAUX, LA 70301-4847
(985) 447-6444
(985) 449-0700
Mailing address
PO BOX 5237, THIBODAUX, LA 70302-5237
(985) 447-6444
(985) 449-0700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
02/29/2008
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