Individual
DR. JAMES RODNEY BLANTON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 LONGVIEW DR, TIJERAS, NM 87059-7835
(505) 286-1086
Mailing address
63 LONGVIEW DR, TIJERAS, NM 87059-7835
(505) 286-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
015190
GA
207Q00000X
Family Medicine Physician
Primary
MD2009-0099
NM
Other
Enumeration date
09/28/2006
Last updated
01/24/2014
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