Individual
BLYTHE BANKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 S RURAL RD STE 120, TEMPE, AZ 85281-2047
(480) 214-0622
Mailing address
3015 ROSE PETAL ST, BAKERSFIELD, CA 93311-2975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/30/2021
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