Individual
JOHN M BLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1412 ELBA HWY, TROY, AL 36079-0000
(334) 566-8822
(334) 670-6723
Mailing address
1412 ELBA HWY, TROY, AL 36079-0000
(334) 566-8822
(334) 670-6723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530670
BCBS
AL
05
—
631804037
—
AL
Enumeration date
08/09/2006
Last updated
03/26/2013
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