Richard Thomas Blaszak in Little Rock - Pediatric Nephrology

Richard Thomas Blaszak - NPI 1114017779

Richard Thomas Blaszak is a Pediatric Nephrology in Little Rock, Arkansas. Richard Thomas Blaszak practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Richard Thomas Blaszak is 1114017779. The last update date is 2016-03-16.

Richard Thomas Blaszak's current location address is 1 Childrens Way # 512, Little Rock, Arkansas. You can contact this provider via phone number 5013641847 and fax number 5013641780. The mailing address for Richard Thomas Blaszak is 1 Childrens Way # 512, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Thomas Blaszak
Address 1 Childrens Way # 512, Little Rock, Arkansas
Phone Number 5013641847
Fax Number 5013641780
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114017779
Provider Enumeration Date 2006-10-13
Last Updated Date 2016-03-16

Provider Mailing Address Detail

Address 1 Childrens Way # 512
City Little Rock
State Arkansas (AR)
Post Code 722023500
Phone Number 5013641847
Fax Number 5013641780

Provider's Primary Taxonomy Detail

Speciality Pediatric Nephrology
Taxonomy 2080P0210X
Licence No E-2089
Definition:
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
136438001 AR --

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FAQs about Richard Thomas Blaszak

What is the Richard Thomas Blaszak's unique identification number?

The Richard Thomas Blaszak has been assigned the NPI (National Provider Identifier) Number 1114017779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Richard Thomas Blaszak is located?

The Richard Thomas Blaszak is situated at the following address: 1 Childrens Way # 512, Little Rock, AR, 722023500.

What is Richard Thomas Blaszak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Thomas Blaszak is Pediatric Nephrology, and the taxonomy code that categorizes this field of expertise is 2080P0210X.

On what date did the Richard Thomas Blaszak receive its 1114017779 assignment from the Centers for Medicare & Medicaid Services?

The Richard Thomas Blaszak was assigned its 1114017779 by the Centers for Medicare & Medicaid Services on 2006-10-13.

As of what date were the details pertaining to Richard Thomas Blaszak last refreshed?

The information related to the Richard Thomas Blaszak, including its address, specialty, and other relevant details, was last updated on 2016-03-16.

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