DERRICK BLANCHARD PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1992381743- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 537 UNION AVE, GRANTS PASS, OR, 975275543
- Phone
- (541) 507-2050
Specialties & Taxonomies
Physician Assistant
Primary License: OR #PA204055