Organization
DAVID BLIKLEN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BLIKLEN M.D. (PRESIDENT)
(602) 843-3811
Entity
Organization
Contact information
Practice address
5757 W THUNDERBIRD RD, SUITE E151, GLENDALE, AZ 85306-4685
(602) 843-3811
(602) 843-0044
Mailing address
5757 W THUNDERBIRD RD, SUITE E 151, GLENDALE, AZ 85306-4641
(602) 843-3811
(602) 843-0044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17275
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273441-01
—
AZ
Enumeration date
12/11/2007
Last updated
01/04/2012
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