Richard Thomas Blaszak
Pediatric Nephrologist
1 Childrens Way # 512
Little Rock
, Arkansas 72202-3500
Richard Thomas Blaszak
Pediatric Nephrologist
1 Childrens Way # 512
Little Rock
, Arkansas 72202-3500
(501) 364-1780
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Richard Thomas Blaszak
- 1 Childrens Way # 512
- Little Rock, AR
- Zip : 72202-3500
- Fax : (501) 364-1780
- Phone : (501) 364-1847
Second Address
- Richard Thomas Blaszak
- 1 Childrens Way # 512
- Little Rock, AR
- Zip : 72202-3500
- Fax : (501) 364-1870
- Phone : (501) 364-1847
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | E-2089 | AR |
National Provider Identifier
| NPI | 1114017779 |
|---|---|
| Provider Name | Richard Thomas Blaszak |
| First Address | Little Rock, AR 72202-3500 |
| Second Address | Little Rock, AR 72202-3500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 16/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 136438001 | (05) | AR |
| G88389 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.