Individual
WESLEY C. BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 208, BATON ROUGE, LA 70808-4300
(225) 765-8826
Mailing address
PO BOX 4964, HOUSTON, TX 77210-4964
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23022
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699551
—
LA
01
—
P00235778
RAILROAD MCARE
LA
Enumeration date
08/17/2006
Last updated
03/04/2008
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