Individual
DR. DANNY CLAYTON BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1869
(602) 298-7777
(623) 930-6060
Mailing address
5859 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1869
(602) 298-7777
(623) 930-6060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35055829
OH
207RI0011X
Interventional Cardiology Physician
Primary
35055829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128700
ANTHEM
OH
01
—
060025257
RAILROAD MEDICARE
—
05
—
0946909
—
OH
01
—
100403
KAISER
OH
01
—
341221800041
CARESOURCE
OH
01
—
E55829
SUMMA
OH
Enumeration date
01/13/2006
Last updated
06/03/2015
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