NPI 1134082803

Spencer Justin Blakely, CAA

Practitioner Anesthesiologist Assistant Muncie, IN

Practice location

Address: 2401 W University Ave, Muncie, IN 47303-3428
Phone: (765) 747-3111

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 75000236A (IN)

Other Anesthesiologist Assistant providers in Indiana →

Registry record

NPI: 1134082803
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2025
Record last updated: 6 Jan 2026

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.