Michael C Blakley JR. MD

NPI 1184607038 - Internal Medicine - 207R00000X

NPI Details
NPI 1184607038
Gender Male
Enumeration Date 11/23/2005
Last Updated 09/19/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
705 RILEY HOSPITAL DR
RR 307
INDIANAPOLIS IN, 46202-5109, US
Phone (317) 274-2172
Fax (317) 278-3031
Business Location
PO BOX 1026
INDIANAPOLIS IN, 46206-1026, US
Phone (317) 274-1201
Fax (317) 278-9905
Toxanomy
Taxonomy Code 207R00000X
License State Indiana
License Number 01060351A
Remove 1184607038 NPI Number
 

According to our database, Dr. Michael C Blakley JR. MD NPI is 1184607038, taxonomy code is 207R00000X and license number is 01060351A, license state is located at Indiana. Michael C Blakley JR. MD physically located at 705 Riley Hospital Dr, Indianapolis IN, 46202-5109. NPI Number Michael C Blakley JR. MD has the Individual type.

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1184607038 NPI number is provided on an as is basis without warranty of any kind. 1184607038 is maintained by the National Plan & Provider Enumeration System. The contents of Michael C Blakley JR. MD are for informational purposes only.