Male or Other

Dr. John D. Blankenship DO

Family Medicine Physician in Huntsville, AL(View on Map)

Full Name

Dr. John David Blankenship DO

NPI Number

1013994342

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/28/2005

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama
Kentucky

License Number

DO630
02709

Contact
Information

Purpose

Mailing
Location

Address

420 LOWELL DR SE STE 103
401 LOWELL DR SE STE 14

City

Huntsville
Huntsville

State

AL
AL

Postal Code

35801-3755
35801-3738

Country

US
US

Telephone Number

(256) 535-5940
(256) 534-7235

Identifiers

Identifier

64036296

Identifier State

KY

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/24/2012

Provider Address

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