Individual
SHAWN D BLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27246
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11028124
CAQH
AZ
01
—
11089159
MULTIPLAN
AZ
05
—
460832
—
AZ
01
—
5978744
AETNA
AZ
01
—
AZ0720790
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
02/11/2006
Last updated
01/05/2026
Update your record
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