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BLAKELY THORNTON

Otolaryngology Physician

NPI: 1225271513Individual

Specialties, Licenses & Credentials

Otolaryngology PhysicianPrimary

Otolaryngology

Code: 207Y00000X

207985(LA)

CMS Specialties

Education

LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT

Class of 2009

Contact & Hours

Address
2121 LINE AVE
SHREVEPORT, LA 71104

Quick Facts

NPI
1225271513
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1
Years in Practice
17

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