Michael P Blasko, PA

NPI #1124100300 in Newport Beach, California

Provider Information

NPI Number: 1124100300
Entity Type: Individual
Name: Michael P Blasko, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 19, 2006
Last Updated: Dec 1, 2021

Practice Location

Address: 4631 TELLER AVE STE 100
City: Newport Beach
State: California
ZIP Code: 92660-8105
Phone: (949) 335-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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