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MARK A BLAIR MD PC NPI 1962684530


NPI Information

NPI: 1962684530
Provider Name: MARK A BLAIR MD PC

Other Name: PARADISE VALLEY DERMATOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
12251 N 32ND ST
PHOENIX, AZ
ZIP 85032
Phone: (602) 971-0950
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MARK A BLAIR MD PC is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MARK A BLAIR MD PC NPI is 1962684530. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Paradise Valley Dermatology.

The provider's business location address is:

12251 N 32ND ST
PHOENIX, AZ
ZIP 85032-189
Phone: (602) 971-0950

The provider's authorized official is Mark A Blair .
The authorized official title is Owner and has the following contact phone number (602) 971-0950.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist32353ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z79349MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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