Individual provider · Type 1 NPI
Tara L. F. Blasingame, D.P.M.
Foot Surgery Podiatrist · Madison, AL
NPI number
1770565699
Active
Practice location
131 W Dublin Dr, Suite A
Madison, AL 35758-1787
Fax (256) 774-8211
Mailing address
PO Box 6487
Huntsville, AL 35813-0487
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | AL164 (AL) |
| Foot Surgery Podiatrist | 213ES0131X | 714 (GA) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1770565699
Tara L. F. Blasingame, D.P.M.'s National Provider Identifier is 1770565699, issued on Nov 16, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Madison, AL. The record was last updated on Mar 28, 2012.