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Blake Harty

NPI 1043171754 · on the registry since 2025

Practice

Address
505 S Prairie St
Bloomfield, MO 63825
Phone
(573) 990-3282

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri