Individual
RICHARD THOMAS BLASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 512, LITTLE ROCK, AR 72202-3500
(501) 364-1847
(501) 364-1870
Mailing address
1 CHILDRENS WAY # 512, LITTLE ROCK, AR 72202-3500
(501) 364-1847
(501) 364-1780
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
E-2089
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136438001
—
AR
Enumeration date
10/13/2006
Last updated
03/16/2016
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