Individual
DR. ALBERT DELOY BLANCHARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2870 S MARYLAND PKWY, #100, LAS VEGAS, NV 89109-5031
(702) 309-4878
(702) 577-3334
Mailing address
2851 N TENAYA WAY, #103, LAS VEGAS, NV 89128-0435
(702) 309-4878
(702) 309-4878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01319
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BZ300Z
MEDICARE PTAN
NV
Enumeration date
03/23/2009
Last updated
03/04/2015
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