RICHARD W BLALOCK JR.

Dr RICHARD W BLALOCK JR. is a male medical professional, specializing in Chiropractic. He graduated in 2010 from Logan College Of Chiropractic.

Contact

1404 TRIAD CTR DR
SAINT PETERS
MO
633767351

Tel:

RICHARD W BLALOCK JR. Information

Npi 1639474133
Pac Id 5799967295
Professional Enrollment Id I20110304000141
Last Name BLALOCK
First Name RICHARD
Middle Name W
Suffix JR.
Gender M
Credential
Medical School Name LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year 2010
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1404 TRIAD CTR DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAINT PETERS
State MO
Zip Code 633767351
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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