NPI 1003028762

Eddye Blossom, MD

Practitioner Obstetrics & Gynecology Physician Monroe, LA

Practice location

Address: 4864 Jackson St, Monroe, LA 71202-6400
Phone: (318) 330-7626
Fax: (318) 330-7648

Registered specialties (3)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence MD.204270 (LA)

Other Obstetrics & Gynecology providers in Louisiana →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 45438 (TN)

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence E-6247 (AR)

Registry record

NPI: 1003028762
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2007
Record last updated: 24 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.