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DENNIS MICHAEL BLANKENSHIP M.D.

Nephrology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1821086547

Individual Registrant:
 DENNIS MICHAEL BLANKENSHIP M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
422 BEECH ST  TEXARKANA, AR 71854-5310 US
Tel: 870-773-1111  Fax: 870-772-1354

Contact information for business:
422 BEECH ST  TEXARKANA, AR 71854-5310 US
Tel: 870-773-1111  Fax: 870-772-7692

Registration Information:
NPI: 1821086547
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RN0300XAllopathic & Osteopathic Physicians
Internal Medicine
Nephrology
ARR3130

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
107680001AR05
BLUE CROSS BLUE SHIELD50512AR01




HEALTH CARE JOBS AR - Page 1



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