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Individual

BLAIR GREGORY BUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
9917 N 95TH ST, SCOTTSDALE, AZ 85258-4586
(480) 314-1533
(480) 314-5795
Mailing address
9917 N 95TH ST, SCOTTSDALE, AZ 85258-4586
(480) 314-1533
(480) 314-5795

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1227055
TX
225100000X
Physical Therapist
Primary
11479
AZ

Other

Enumeration date
12/04/2013
Last updated
04/17/2015
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