Individual
MR. JOSEPH D BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3011 AVENUE B, SCOTTSBLUFF, NE 69361-4372
(308) 632-2215
Mailing address
3011 AVENUE B, SCOTTSBLUFF, NE 69361-4372
(308) 632-2215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
761
NE
Other
Enumeration date
09/09/2005
Last updated
08/12/2014
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