Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 191556 | NC |
N | 2080P0205X | Pediatric Endocrinologist | 128028 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | 311379 | LA |
NPI | 1073958724 |
---|---|
Provider Name | Dr. Christopher Everett Blunden |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2013 |
Last Update Date | 30/05/2019 |