Blackburn, Patrick Wayne

Blackburn, Patrick Wayne is an individual health care provider with primary practice located at 6111 E Arbor Ave , Mesa AZ 85206-6059. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Blackburn, Patrick Wayne can be contacted via phone (480) 981-1326.

Contact Information

Primary practice address
6111 E Arbor Ave Mesa AZ 85206-6059
Phone: (480) 981-1326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 59600 Tennessee
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 59600 Tennessee
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 67910 Arizona

Profile Details

NPI number 1972999266
LBN Legal business name Blackburn, Patrick Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Jul 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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