Individual provider · Type 1 NPI

Thomas J. Blastick, PA-C

Surgical Physician Assistant · Indianapolis, IN

NPI number 1265458418 Active

Practice location

8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193

Call (317) 583-7600 Map

Mailing address

250 W 96th St # 520
Indianapolis, IN 46260-1316

Other practice locations

  • 707 W 2nd St, Bloomington, IN 47403-2209 · (812) 334-5081

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10000823A (IN)

Surgical Physician Assistant: Definition to come...

53 other providers at this address

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About NPI 1265458418

Thomas J. Blastick, PA-C's National Provider Identifier is 1265458418, issued on Jul 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 3, 2019.