| Spencer Justin Blakely, CAA | |
|
2401 W University Ave, Muncie, IN 47303-3428 | |
| (765) 747-3111 | |
| Not Available |
| Full Name | Spencer Justin Blakely |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 2401 W University Ave, Muncie, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134082803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000236A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer Justin Blakely, CAA 2401 W University Ave, Muncie, IN 47303-3428 Ph: () - | Spencer Justin Blakely, CAA 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 747-3111 |
Mr. An Bao Nguyen, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3111 | |
Jordan Lynn Tharp, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-751-6212 | |
Charles Reilly Hester, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave Fl 1, Muncie, IN 47303 Phone: 765-747-3111 | |
Sundance Zxaine Kemp, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3111 | |
Mr. Jordan Michael Holt, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-751-2649 Fax: 765-281-6671 |