Individual
COURTNEY BREANNE BLASCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600
Mailing address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 616-4479
(417) 820-7852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024003138
MO
Other
Enumeration date
01/26/2024
Last updated
01/14/2026
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