Stephen Paul Blanchard Sr, MD | |
309 Jackson St, Monroe, LA 71201-7407 | |
(318) 327-4105 | |
(318) 327-4423 |
Full Name | Stephen Paul Blanchard Sr |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 309 Jackson St, Monroe, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174524367 | NPI | - | NPPES |
1387584 | Medicaid | LA | |
1174524367 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 017802 (Louisiana) | Primary |
Entity Name | The Delta Pathology Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20050321000139 |
Mailing Address | Practice Location Address |
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Stephen Paul Blanchard Sr, MD Po Box 3780, Tupelo, MS 38803-3780 Ph: (601) 553-6810 | Stephen Paul Blanchard Sr, MD 309 Jackson St, Monroe, LA 71201-7407 Ph: (318) 327-4105 |
Dr. Richard Joseph Blanchard Jr., M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-327-4105 Fax: 318-327-4423 | |
Howard Wright, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Department Of Pathology, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 |