Individual
ROBERT DALE BLASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-1522
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 526-6562
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
N-7810
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115735001
—
AR
01
—
13949000000
QUALCHOICE
AR
01
—
N7810
TRICARE
AR
01
—
P00020676
RAILROAD MEDICARE
AR
Enumeration date
10/11/2006
Last updated
03/27/2024
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