Organization
JABEZ-BLOCHER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S BLOCHER DPM (CEO)
(480) 821-4709
Entity
Organization
Contact information
Practice address
7400 S POWER RD, #120, GILBERT, AZ 85297-9281
(480) 821-4709
Mailing address
8490 S POWER RD, #105-244, GILBERT, AZ 85297-8028
(480) 821-4709
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0359
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315227
—
AZ
Enumeration date
10/30/2008
Last updated
04/15/2010
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