Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN BLAYLOCK, CRNA
ActiveDR. BENJAMIN BLAYLOCK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in POLK CITY, Iowa. NPI 1154708170 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · POLK CITY, IA
Registration Details
- NPI Number
- 1154708170
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2015 (11.255154202869 yrs)
- Last Updated
- Dec 12, 2023
- License
-
D124963 (IA)
Practice Information
- Address
-
1901 MEADOW LARK DRPOLK CITY, IA, 502261283Browse IA providers · Browse ZIP 50226
- Phone
- 5154949935
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.