SPENCER JUSTIN BLAKELY

MUNCIE, IN
NPI1134082803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: IN  75000236A)
Enumeration Date2025-12-08
Last Update Date2026-01-06
Business Address
SPENCER JUSTIN BLAKELY CAA
2401 W UNIVERSITY AVE
MUNCIE, IN 47303-3428
Phone number: 765-747-3111
Mailing Address
SPENCER JUSTIN BLAKELY CAA
2401 W UNIVERSITY AVE
MUNCIE, IN 47303-3428
Phone number: