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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDDYE BLOSSOM II, MD

Active

DR. EDDYE BLOSSOM II, MD is a Obstetrics & Gynecology healthcare provider located in MONROE, Louisiana. NPI 1003028762 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · MONROE, LA

Registration Details

NPI Number
1003028762
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2007 (19.323004896142 yrs)
Last Updated
Jan 24, 2013
Licenses
MD.204270 (LA)
45438 (TN)
E-6247 (AR)

Practice Information

Address
4864 JACKSON ST
MONROE, LA, 712026400
Browse LA providers · Browse ZIP 71202
Phone
3183307626
Fax
3183307648
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in MONROE, LA

Name Credential NPI
DAVID G BRYAN M.D. 1396748604
TERENCE R TUGWELL M.D. 1437152741
WILLIAM B BELSOM M.D. 1588667802
JASON B WILSON M.D. 1235132531
TONYA H HUNTER M.D. 1770586067
JONATHAN MACK BARHAM M. D. 1992702641
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.