Organization
JESSICA BLANCO MD PC
Active
Other names
Desert Foothills Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BLANCO MD (OWNER)
(480) 361-4780
Entity
Organization
Contact information
Practice address
5505 W CHANDLER BLVD, STE.#B-13, CHANDLER, AZ 85226-3683
(480) 361-4780
(480) 361-4781
Mailing address
5505 W CHANDLER BLVD, STE.#B-13, CHANDLER, AZ 85226-3683
(480) 361-4780
(480) 361-4781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764284
—
AZ
Enumeration date
03/07/2008
Last updated
03/24/2025
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