Individual
MR. HAL H BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA OPAC
Contact information
Practice address
7073 STONECREEK DR, PLAINFIELD, IN 46168-7923
(317) 838-8999
(317) 838-8999
Mailing address
7073 STONECREEK DR, PLAINFIELD, IN 46168-7923
(317) 838-8999
(317) 838-8999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0000097
NY
246ZS0410X
Surgical Technologist
Primary
SA081
KY
Other
Enumeration date
11/02/2005
Last updated
03/21/2008
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