Dr. WILLIAM F BLANK Jr.
Individual Provider (NPI-1)
Active
Pathology, Dermatopathology
Provider Information
- NPI Number
1740260652- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 221 S MAIN, CHAFFEE, MO, 63740
- Phone
- (573) 887-3632
- Fax
- (573) 887-3635
Specialties & Taxonomies
Pathology, Dermatopathology
Primary License: MO #34699
Pathology, Dermatopathology
License: IL #036081467