ADAM BLANCHER

SHREVEPORT, LA
NPI1952964058
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: LA  347609)
Enumeration Date2019-04-15
Last Update Date2025-08-19
Business Address
ADAM BLANCHER
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
ADAM BLANCHER
1541 KINGS HWY ATTN: PAYOR CREDENTIALING
SHREVEPORT, LA 71103-4228
Phone number:
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