person
Dr. Tara L. F. Blasingame, DPM
Foot Surgery Podiatrist in Madison, Alabama
NPI 1770565699

Tara L. F. Blasingame is a Foot Surgery Podiatrist based in Huntsville, AL and is specialized in Foot Surgery. Tara L. F. Blasingame practices in Madison, AL and has the professional credentials of DPM. The NPI Number for Tara L. F. Blasingame is 1770565699 and holds a License No. AL164 (Alabama).

The current practice location address for Tara L. F. Blasingame is 131 W Dublin Dr, Madison, AL and can be reached out via phone at 256-772-8566 and via fax at 256-774-8211. You can also correspond with Tara L. F. Blasingame through the mailing address at PO BOX 6487, HUNTSVILLE, AL - 35813-0487 (mailing address contact number: 256-772-8566).

Location: 131 W Dublin Dr, Madison, AL, 35813-0487
person
Provider Profile Details
NPI Number
1770565699
Provider Name
Tara L. F. Blasingame
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
131 W Dublin Dr, Madison, AL, 35813-0487
Phone Number
256-772-8566
Fax Number
256-774-8211
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
510452548 01 AL TRICARE
051514659 01 AL BLUE CROSS BLUE SHIELD
890010830 05 AL
890010840 05 AL
051514658 01 AL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
131 W Dublin Dr
City
State
Zip
35758-1787
Phone Number
256-772-8566
Fax Number
256-774-8211
person
Provider Business Mailing Address Details
Address
131 W Dublin Dr
City
State
Zip
35758-1787
Phone Number
256-772-8566
Fax Number
256-774-8211
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
AL164 (Alabama)
Definition
Definition to come...
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