Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW LEE BLALOCK, IDC
ActiveANDREW LEE BLALOCK, IDC is a Independent Duty Corpsman healthcare provider located in NIANTIC, Connecticut. NPI 1447557657 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · NIANTIC, CT
Registration Details
- NPI Number
- 1447557657
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2011 (15.428223632403 yrs)
- Last Updated
- Feb 24, 2011
Practice Information
- Address
-
97 W MAIN STAPT 47NIANTIC, CT, 063571749Browse CT providers · Browse ZIP 06357
- Phone
- 3054925489
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
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.