Individual
JOHN SAMPSON BLEAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10701 NALL AVE, STE 200, OVERLAND PARK, KS 66211-1358
(913) 381-5225
(913) 901-0186
Mailing address
12639 OLD TESSON RD, STE 100, SAINT LOUIS, MO 63128-2786
(913) 381-5225
(913) 901-0186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2008018690
MO
Other
Enumeration date
11/21/2008
Last updated
07/26/2019
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