Individual
CLARICE E. BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2950
(515) 462-4371
Mailing address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2950
(515) 462-4371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001281
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163410
—
IA
01
—
53959
BCBS
IA
Enumeration date
08/31/2006
Last updated
01/19/2021
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