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Search › Mississippi › 207P00000X

Mallory Blakeslee, D.O

NPI 1932516945 · on the registry since 2014

Practice

Address
4500 13th St
Gulfport, MS 39501
Phone
(228) 575-2000
Organisation at this address
Boles Llc
Etas, Pllc
Caredoc Llc
Care Doc Llc
Care Doc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
261

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
Licence states on file
OK, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-08

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 Mississippi