| Organization Name: | ANTHONY I BLANCHARD DPM LLC |
| NPI Number: | 1255735320 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY ISAAC BLANCHARD (PODIATRIST) |
| Mailing Address: | 1555 Gary Dr Breaux Bridge |
| State: | LA US |
| Postal Code: | 705173448 |
| Phone Number: | 3378063349 |
| Fax Number: | 3379092216 |
| NPI Enumeration Date: | 10/17/2014 |
| NPI Last Update Date: | 10/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | PD140R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |