Individual
DR. BLAIR JAMES SANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1347 N. GREENFIELD RD, SUITE 101, MESA, AZ 85205-4072
(480) 699-8762
(480) 699-8350
Mailing address
1347 N GREENFIELD RD, STE 101, MESA, AZ 85205-4072
(480) 382-6619
(866) 646-5962
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
531450
—
AZ
Enumeration date
05/20/2009
Last updated
08/02/2016
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