Individual
WARREN MARK BREISBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 N. 3RD STREET, SUITE 3010, PHOENIX, AZ 85020-2425
(602) 861-1168
(602) 861-1763
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(602) 214-6148
(602) 214-6149
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
24667
AZ
207RI0011X
Interventional Cardiology Physician
Primary
24667
AZ
207UN0901X
Nuclear Cardiology Physician
24667
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370247
—
AZ
Enumeration date
08/10/2005
Last updated
09/25/2013
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