Amy A Blazek, PA

NPI #1174621247 in Lubbock, Texas

Provider Information

NPI Number: 1174621247
Entity Type: Individual
Name: Amy A Blazek, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3502 9TH ST
Address 2: STE 110
City: Lubbock
State: Texas
ZIP Code: 79415-3300
Phone: (806) 744-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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