Individual
ANDREW LOREN BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD STE 800, PHOENIX, AZ 85013-4217
(602) 406-1234
(602) 406-6368
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
49079
AZ
208200000X
Plastic Surgery Physician
49079
AZ
208600000X
Surgery Physician
Primary
49079
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
49079
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
06/25/2008
Last updated
05/08/2025
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