John Sampson Bleazard, D.O.
Orthopaedic Surgery in Overland Park, KS. Individual provider (NPI-1).
NPI number1689829384
StatusActive
Last updated in NPPESJul 26, 2019
Details
- NPI
- 1689829384
- Entity type
- Individual (NPI-1)
- Name
- John Sampson Bleazard
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2008
- Last updated
- Jul 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2008018690 | MO | Yes |
Practice location
10701 Nall AveSte 200
Overland Park, KS 66211-1358
Phone 913-381-5225 · Fax 913-901-0186
Mailing address
12639 Old Tesson RdSte 100
Saint Louis, MO 63128-2786
Phone 913-381-5225 · Fax 913-901-0186
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