Individual
DANIEL BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4473 E OXFORD LN, GILBERT, AZ 85295-5822
(480) 371-8530
Mailing address
4473 E OXFORD LN, GILBERT, AZ 85295-5822
(480) 371-8530
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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