NATHAN BLACKHURST

CHANDLER, AZ
NPI1952863003
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  7553)
Additional Taxonomies363A00000X Physician Assistant
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-05
Last Update Date2024-01-22
Business Address
NATHAN BLACKHURST PA
485 S DOBSON RD STE 110
CHANDLER, AZ 85224-5600
Phone number: 480-728-4470
Mailing Address
NATHAN BLACKHURST PA
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786