Individual
DR. PATRICK WAYNE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6111 E ARBOR AVE, MESA, AZ 85206-6059
(480) 981-1326
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 245-6286
(480) 398-8070
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
59600
TN
207VX0201X
Gynecologic Oncology Physician
59600
TN
207VX0201X
Gynecologic Oncology Physician
Primary
67910
AZ
Other
Enumeration date
04/13/2015
Last updated
07/05/2023
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