Individual
IAN A BLIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 GLASGOW AVE STE 124, NEWARK, DE 19702-4777
(302) 836-4200
(302) 836-8431
Mailing address
405 SILVERSIDE RD STE 111, WILMINGTON, DE 19809-1768
(302) 798-0666
(302) 798-4905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
08/28/2019
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