Individual
DR. ELIZABETH A BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5510
(573) 632-5810
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5510
(573) 632-5810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R9G99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04235109
BNDD
MO
05
—
202424818
—
MO
Enumeration date
05/23/2005
Last updated
03/07/2023
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