Individual
CRAIG A BLANKINSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1534 E RAY RD, SUITE 104, GILBERT, AZ 85296-4429
(480) 855-5542
(480) 855-5756
Mailing address
734 E ELGIN ST, GILBERT, AZ 85296-6580
(480) 855-5542
(480) 855-5756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4181
AZ
Other
Enumeration date
01/30/2007
Last updated
12/22/2011
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