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RICHARD STANFILL BLANKENBAKER Jr. MD

Individual Provider (NPI-1) Active

Internal Medicine, Interventional Cardiology

Provider Information

NPI Number
1639273253
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
407 S SCHWARTZ AVE STE 202, FARMINGTON, NM, 874015925
Phone
(505) 609-6770

Specialties & Taxonomies

Specialist License: CA #G76312
Internal Medicine, Interventional Cardiology Primary License: NM #MD2023-1626

All Addresses

LOCATION

407 S SCHWARTZ AVE STE 202

FARMINGTON, NM, 874015925

(505) 609-6770

MAILING

PO BOX 844088

DALLAS, TX, 752844088

(505) 609-2258