Individual provider · Type 1 NPI

Jason Matthew Blocksom, MD

Plastic and Reconstructive Surgery Physician · Indianapolis, IN

NPI number 1144488495 Active

Practice location

8402 Harcourt Rd
Indianapolis, IN 46260-2074

Call (317) 338-6713 Map

Fax (317) 338-6615

Mailing address

8402 Harcourt Rd Ste 830
Indianapolis, IN 46260-2096

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X01068126A (IN)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X01068126A (IN)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1144488495

Jason Matthew Blocksom, MD's National Provider Identifier is 1144488495, issued on May 22, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Indianapolis, IN. The record was last updated on May 25, 2022.