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Hal H Blank, CSA OPAC

Specialist/Technologist, Other, Surgical Technologist in Plainfield, IN. Individual provider (NPI-1).

NPI number1396736070
StatusActive
Last updated in NPPESMar 21, 2008

Details

NPI
1396736070
Entity type
Individual (NPI-1)
Name
Mr. Hal H Blank
Credential
CSA OPAC
Sex
Male
Sole proprietor
No
Enumeration date
Nov 2, 2005
Last updated
Mar 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZS0410X Specialist/Technologist, Other, Surgical TechnologistSA081KYYes
174400000X Specialist0000097NY

Practice location

7073 Stonecreek Dr
Plainfield, IN 46168-7923

Phone 317-838-8999 · Fax 317-838-8999

Mailing address

7073 Stonecreek Dr
Plainfield, IN 46168-7923

Phone 317-838-8999 · Fax 317-838-8999

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