Individual
MR. BLAIR J PACKARD II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
217 S 63RD ST, STE 101, MESA, AZ 85206-1611
(480) 981-0900
(480) 981-0897
Mailing address
217 S 63RD ST, STE 101, MESA, AZ 85206-1611
(480) 981-0900
(480) 981-0897
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0561
AZ
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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