Tabula Rasa, Pllc
NPI #1730628025 in Crab Orchard, West Virginia
Provider Information
- NPI Number
- 1730628025
- Entity Type
- Organization
- Organization Name
- Tabula Rasa, Pllc
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 20, 2017
- Last Updated
- Feb 20, 2017
Practice Location
- Address
- 1296 ROBERT C. BYRD DR
- City
- Crab Orchard
- State
- West Virginia
- ZIP Code
- 25827
- Phone
- (681) 238-5957
Authorized Official
- Name
- KEVIN BLANKENSHIP, M.D.
- Title
- DIRECTOR
- Phone
- (681) 238-5957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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