NPI 1619191251

Gary Blaich D.D.S., P.A.

Organisation Preferred Provider Organization Coffeyville, KS

Practice location

Address: 1509 W 4th St, Coffeyville, KS 67337-3307
Phone: (620) 251-0606

Authorised official

Name: Gary Blaich
Title: President
Phone: (620) 251-0604

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 6743 (KS)

Other Preferred Provider Organization providers in Kansas →

Registry record

NPI: 1619191251
Entity type: Organization
NPI issued: 13 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.