Individual
DR. ALAN D ZABLOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4550
Mailing address
1000 E PRIMROSE ST STE 520, SPRINGFIELD, MO 65807-5180
(417) 269-4550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2003004988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149468001
—
AR
01
—
175118
MO BLUE SHIELD
MO
05
—
208764902
—
MO
01
—
82534
ARK BLUE SHIELD
AR
Enumeration date
02/01/2007
Last updated
09/12/2012
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