Julian Blalock Jr., MD
Pediatrics in Hampton, VA. Individual provider (NPI-1).
NPI number1619972833
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1619972833
- Entity type
- Individual (NPI-1)
- Name
- Julian Blalock Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2005
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101037722 | VA | Yes |
Practice location
23 Manhattan SquareHampton, VA 23666
Phone 757-595-0358 · Fax 757-595-6745
Mailing address
23 Manhattan SquareHampton, VA 23666
Phone 757-595-0358 · Fax 757-595-6745
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