DEIDRA BLANKS

FAYETTEVILLE, NC
NPI1619170529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery
(Licence: NC  2006-00621)
Additional Taxonomies207YX0901X Otolaryngology Otology & Neurotology
(Licence: NC  2006-00621)
207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery
(Licence: MO  2011003947)
Enumeration Date2007-06-07
Last Update Date2021-06-11
Business Address
DEIDRA BLANKS M.D.
1839 QUIET CV
FAYETTEVILLE, NC 28304-3857
Phone number: 910-323-1463
Mailing Address
DEIDRA BLANKS M.D.
1839 QUIET CV
FAYETTEVILLE, NC 28304-3857
Phone number: 910-323-1463