Organization
DAVID A. BLEZA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BLEZA M.D. (PRESIDENT)
(219) 779-9721
Entity
Organization
Contact information
Practice address
9150 E 109TH AVE STE 2D, CROWN POINT, IN 46307-7687
(219) 779-9721
(219) 779-9726
Mailing address
PO BOX 1554, CROWN POINT, IN 46308-1554
(219) 779-9721
(219) 779-9726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
04/20/2017
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