Mr. HAL H BLANK -- CSA OPAC
Individual Provider (NPI-1)
Active
Specialist/Technologist, Other, Surgical Technologist
Provider Information
- NPI Number
1396736070- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CSA OPAC
- Status
- Active
Contact & Location
- Address
- 7073 STONECREEK DR, PLAINFIELD, IN, 461687923
- Phone
- (317) 838-8999
- Fax
- (317) 838-8999
Specialties & Taxonomies
Specialist
License: NY #0000097
Specialist/Technologist, Other, Surgical Technologist
Primary License: KY #SA081