DERRICK BLANCHARD

GRANTS PASS, OR
NPI1992381743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA204055)
Enumeration Date2021-03-22
Last Update Date2021-03-22
Business Address
DERRICK BLANCHARD PA-C
537 UNION AVE
GRANTS PASS, OR 97527-5543
Phone number: 541-507-2050
Mailing Address
DERRICK BLANCHARD PA-C
3987 N LIVINGSTON AVE
IDAHO FALLS, ID 83401-1482
Phone number: 208-346-3010
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