Individual
DR. RICHARD E BLALOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S 8TH ST STE 284W, MURRAY, KY 42071-2452
(270) 761-5756
(270) 752-2856
Mailing address
300 S 8TH ST, SUITE 480W, MURRAY, KY 42071-2400
(270) 762-1792
(270) 762-1783
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
49156
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13861634
CAQH
KY
05
—
7100422690
—
KY
Enumeration date
09/02/2012
Last updated
08/02/2023
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