Richard Blaszak MD

NPI 1114017779 - Pediatrics - 2080P0210X

NPI Details
NPI 1114017779
Gender Male
Enumeration Date 10/13/2006
Last Updated 07/31/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
800 MARSHALL ST # 653
LITTLE ROCK AR, 72202-3510, US
Phone (501) 364-1100
Fax
Business Location
800 MARSHALL ST # 653
LITTLE ROCK AR, 72202-3510, US
Phone (501) 364-1100
Fax
Toxanomy
Taxonomy Code 2080P0210X
License State Arkansas
License Number E-2089
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According to our database, Richard Blaszak MD NPI is 1114017779, taxonomy code is 2080P0210X and license number is E-2089, license state is located at Arkansas. Richard Blaszak MD physically located at 800 Marshall St # 653, Little Rock AR, 72202-3510. NPI Number Richard Blaszak MD has the Individual type.

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1114017779 NPI number is provided on an as is basis without warranty of any kind. 1114017779 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Blaszak MD are for informational purposes only.