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Contact Information

RICHARD S BLANKENBAKER JR, MD
407 S SCHWARTZ AVE STE 202
FARMINGTON, NM87401-5925
 Phone: 505-609-6770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for RICHARD S BLANKENBAKER JR · (Male)

NPI Number 1639273253
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2006
Last updated 12/12/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • CA License # G76312
  • NM License # MD2023-1626
  • CA Medicaid 010884465
Hospital affiliation(s)
  • HOAG MEMORIAL HOSPITAL PRESBYTERIAN - (Acute Care)
    ONE HOAG DRIVE
    NEWPORT BEACH, CA 92663
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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