| David Bliklen, M.d., P.c. | |
|
5757 W Thunderbird Rd Suite E151 Glendale AZ 85306-4685 | |
| (602) 843-3811 | |
| (602) 843-0044 |
| Full Name | David Bliklen, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5757 W Thunderbird Rd, Glendale, Arizona |
| Authorized Official Name and Position | David Bliklen (PRESIDENT) |
| Authorized Official Contact | 6028433811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Bliklen, M.d., P.c. 5757 W Thunderbird Rd Suite E 151 Glendale AZ 85306-4641 Ph: (602) 843-3811 | David Bliklen, M.d., P.c. 5757 W Thunderbird Rd Suite E151 Glendale AZ 85306-4685 Ph: (602) 843-3811 |
| NPI Number | 1164605333 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164605333 | NPI | - | NPPES |
| 273441-01 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 17275 (Arizona) | Primary |
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