Individual
TREY RICHARD BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004275A
IN
Other
Enumeration date
08/26/2020
Last updated
01/06/2025
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