DR. BRANDON BLACKLEDGE, DO
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1376162065
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | - |
Frequently Asked Questions
NPI 1376162065 is the National Provider Identifier for DR. BRANDON BLACKLEDGE, DO, a Student in an Organized Health Care Education/Training Program provider located in Shreveport, LA. This NPI was enumerated on April 13, 2020.
DR. BRANDON BLACKLEDGE, DO practices at 2600 GREENWOOD RD, Shreveport, LA 71103.
Quick Facts
- NPI
- 1376162065
- Type
- Individual
- Enumerated
- Apr 13, 2020
- Last Updated
- May 6, 2022
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