Individual
SHAWN D BLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18699 N 67TH AVE STE 230, GLENDALE, AZ 85308-7147
(623) 935-5522
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366
(602) 222-1900
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
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