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NPI Code Detail

MEDICARE: DR. RICHARD ALLAN BLIGH MD

MEDICARE: DR. RICHARD ALLAN BLIGH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD102881MO

General Provider Information

NPI Number : 1306813050
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ALLAN BLIGH MD
Provider Business Mailing Address
First Line : 1000 DES PERES RD STE 118
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2064
Country : US
Telephone Number : 314-994-1536
Fax Number : 314-692-0241
Provider Business Practice Location Address
First Line : 1000 DES PERES RD STE 118
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63131-2064
Country : US
Telephone Number : 314-994-1536
Fax Number : 314-692-0241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 02/06/2024

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