Individual
JOSEPH KAY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15510 W BELL RD, SURPRISE, AZ 85374-3436
(480) 717-4903
(480) 717-4904
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
(615) 425-4268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5227
AZ
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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