Individual
CHARLOTTE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 S MCCLINTOCK DR STE 110, TEMPE, AZ 85283-6002
(480) 777-0607
Mailing address
5801 S MCCLINTOCK DR, TEMPE, AZ 85283-6002
(480) 777-0607
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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