Individual
DR. DERRELL PRATT BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
602 W UNION HILLS DR STE 7, PHOENIX, AZ 85027-6629
(623) 492-0999
Mailing address
1717 E UNION HILLS DR UNIT 1079, PHOENIX, AZ 85024-3041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8834
AZ
Other
Enumeration date
10/21/2025
Last updated
10/24/2025
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