Individual
DR. ADAM CALVIN BLYSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10401 W THUNDERBIRD BLVD, EMERGENCY DEPARTMENT, SUN CITY, AZ 85351-3004
(623) 832-5772
Mailing address
10401 W THUNDERBIRD BLVD, EMERGENCY DEPARTMENT, SUN CITY, AZ 85351-3004
(623) 832-5772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
006363
AZ
207P00000X
Emergency Medicine Physician
P5597
TX
390200000X
Student in an Organized Health Care Education/Training Program
P5597
TX
Other
Enumeration date
08/05/2012
Last updated
06/11/2015
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