Individual
JEFFREY BLAINE SURINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S DOBSON RD STE 202, MESA, AZ 85202-4724
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8706
(480) 874-2041
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149693
—
AZ
Enumeration date
03/24/2016
Last updated
08/11/2025
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