Organization
JOHN PAUL BLAKELY PA
Active
Organization
JOHN PAUL BLAKELY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL BLAKELY D. O. (PRESIDENT)
(806) 241-8869
Entity
Organization
Contact information
Practice address
6819 PLUM CREEK DR, AMARILLO, TX 79124-1602
(806) 351-1560
(806) 351-0343
Mailing address
PO BOX 50360, AMARILLO, TX 79159-0360
(806) 351-1560
(806) 351-0343
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02003031A
TX
Other
Enumeration date
12/05/2007
Last updated
12/18/2007
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