Individual
PHILIP A. BLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1877 PRAIRIE SKY LN, GREENWOOD, IN 46143-6640
(435) 668-2481
Mailing address
1877 PRAIRIE SKY LN, GREENWOOD, IN 46143-6640
(435) 668-2481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01076512A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01076512A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007592
—
IN
Enumeration date
06/06/2013
Last updated
09/05/2025
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