| Doctor Name: | DR. DAVID G BLANCHO |
| NPI Number: | 1366753055 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 2013028529 |
| Business Practice Address: | 444 Four States Dr Ste 1 Galena, KS - 667394324 |
| Business Phone Number: | 6207834441 |
| Business Fax Number: | 6207834090 |
| Mailing Address: | Po Box 2546, JOPLIN |
| State: | MO |
| Postal Code: | 648032546 |
| Phone Number: | 6207834441 |
| Fax Number: | 6207834090 |
| NPI Enumeration Date: | 06/28/2010 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 2013028529 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |