TUCKER BLACKLEDGE, MD

Pediatrics

Active Individual
NPI: 1134651284

Practice Address

1501 KINGS HWY
PEDIATRICS
Shreveport, LA 71103

Phone: (318) 626-2274

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes E-13312 (AR)
Pediatrics - Pediatric Hematology-Oncology 2080P0207X No E-13312 (AR)

Frequently Asked Questions

NPI 1134651284 is the National Provider Identifier for TUCKER BLACKLEDGE, MD, a Pediatrics provider located in Shreveport, LA. This NPI was enumerated on March 29, 2017.
TUCKER BLACKLEDGE, MD practices at 1501 KINGS HWY, PEDIATRICS, Shreveport, LA 71103.

Quick Facts

NPI
1134651284
Type
Individual
Enumerated
Mar 29, 2017
Last Updated
Aug 14, 2023

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