# JESSICA BLANCO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Desert Foothills Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669642401
- **Authorized official:** JESSICA BLANCO MD (OWNER)
- **Authorized official phone:** (480) 361-4780

## Contact information

- **Practice address:** 5505 W CHANDLER BLVD, STE.\#B-13, CHANDLER, AZ 85226-3683
- **Practice address phone:** (480) 361-4780
- **Practice address fax:** (480) 361-4781
- **Mailing address:** 5505 W CHANDLER BLVD, STE.\#B-13, CHANDLER, AZ 85226-3683
- **Mailing address phone:** (480) 361-4780
- **Mailing address fax:** (480) 361-4781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 03/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 764284 | — | AZ |