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Mallory C Blankenberger, PA-C
Physician Assistant in Lafayette, Indiana
NPI 1104348044

Mallory C Blankenberger is a Physician Assistant based in Indianapolis, IN. Mallory C Blankenberger practices in Lafayette, IN and has the professional credentials of PA-C. The NPI Number for Mallory C Blankenberger is 1104348044 and holds a License No. 10002240A (Indiana).

The current practice location address for Mallory C Blankenberger is 5165 Mccarty Lane, Lafayette, IN and can be reached out via phone at 800-899-8448. You can also correspond with Mallory C Blankenberger through the mailing address at 250 N SHADELAND AVE, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: ).

Location: 5165 Mccarty Lane, Lafayette, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104348044
Provider Name
Mallory C Blankenberger
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5165 Mccarty Lane, Lafayette, IN, 46219-4959
Phone Number
800-899-8448
Fax Number
Provider Enumeration Date
07/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300018177 05 IN
264430D75 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
5165 Mccarty Lane
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
800-899-8448
Fax Number
person
Provider Business Mailing Address Details
Address
5165 Mccarty Lane
City
Lafayette
State
Indiana
Zip
47905-8764
Phone Number
800-899-8448
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10002240A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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