Individual
DR. DAVID ARNOLD BLEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9150 E 109TH AVE, CROWN POINT, IN 46307-7687
(219) 779-9721
(219) 779-9726
Mailing address
PO BOX 1554, CROWN POINT, IN 46308-1554
(219) 736-6850
(219) 736-6855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01052161A
IN
208600000X
Surgery Physician
Primary
01052161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200348360
—
IN
01
—
P00981187
RAILROAD MEDICARE
IN
Enumeration date
09/20/2006
Last updated
05/22/2023
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