Individual
MS. DORIAN V BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-6297
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA5197
MA
Other
Enumeration date
10/31/2014
Last updated
01/10/2020
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