Walter Blankenship, O.D

NPI 1770597072 · on the registry since 2006 · sole proprietor

Practice

Address: 126 Jefferson St
Mansfield, LA 71052
Phone: (318) 872-0747
Fax: (318) 872-0748
Organisation at this address: Sr Mansfield Llc
Mansfield Dental Clinic Llc
Christopher Shelby M D A Professional Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana