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Individual

DAVID A BLIKLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044
Mailing address
6677 W THUNDERBIRD RD STE D148, GLENDALE, AZ 85306-3769
(602) 843-3811
(602) 843-0044

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17275
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273441-01
AZ
05
27344101
AZ
Enumeration date
04/08/2006
Last updated
07/21/2022
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