WILLIAM F BLANK

CHAFFEE, MO
NPI1740260652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZD0900X Pathology Dermatopathology
(Licence: MO  34699)
Additional Taxonomies207ZD0900X Pathology Dermatopathology
Enumeration Date2006-01-18
Last Update Date2007-07-08
Business Address
DR. WILLIAM F BLANK
221 S MAIN
CHAFFEE, MO 63740
Phone number: 573-887-3632
Mailing Address
DR. WILLIAM F BLANK
221 S MAIN ST PO BOX 216
CHAFFEE, MO 63740-1040
Phone number: 573-887-3632