JOHN R BLOSS

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Dr JOHN R BLOSS is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1990 from Louisiana State University School Of Medicine In New Orleans.

Contact

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

114 HWY 403
PAINCOURTVILLE
LA
703910300

Tel: 9854481216

JOHN R BLOSS Information

Npi 1841394285
Pac Id 7911041041
Professional Enrollment Id I20110308000228
Last Name BLOSS
First Name JOHN
Middle Name R
Suffix
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1990
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Group Practice Pac Id 8224011754
Number Of Group Practice Members 71
Line 1 Street Address 114 HWY 403
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PAINCOURTVILLE
State LA
Zip Code 703910300
Phone Number 9854481216
Hospital Affiliation Ccn 1 190004
Hospital Affiliation Lbn 1 THIBODAUX REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 190014
Hospital Affiliation Lbn 2 TECHE REGIONAL MEDICAL CENTER
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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