Douglas Anthony Blakely, CAA Valid NPI

Individual provider · Anesthesiologist Assistant · Indianapolis, IN

NPI

1952994071

Type

Individual (Type 1)

Primary specialty

Anesthesiologist Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367H00000X

License number

75000252A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2021-02-19

Last updated

2026-06-24