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NPI Verification

National Provider Identifier: 1982023149

Christopher Shane Blomberg, Md, Ms

Individual Provider

Credentials

MD, MS

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

4864 JACKSON ST

FAMILY MEDICINE

MONROE, LA 712026400

Phone: 318-330-7650

NPI Enumeration Date

April 15, 2014

NPI Number

1982023149

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry