Individual
GREGORY W BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 422-6730
(641) 422-6659
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 422-6730
(641) 422-6659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001629
IA
Other
Enumeration date
02/03/2006
Last updated
02/17/2009
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