Individual
LINDLEY T BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 615-5672
(902) 978-0158
Mailing address
PO BOX 29048, PHOENIX, AZ 85038-9048
(602) 615-5672
(602) 978-0158
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
30397
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386619
—
AZ
01
—
759342
MERCY CARE
AZ
05
—
759342
—
AZ
01
—
AZ0733030
BLUE CROSS
AZ
01
—
P00070361
RAILROAD MEDICARE
AZ
01
—
P02958
PHOENIX HEALTH PLAN
AZ
Enumeration date
12/19/2006
Last updated
02/18/2025
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