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NPI Code Detail

MEDICARE: ANDREW LOREN BLOUNT MD

MEDICARE: ANDREW LOREN BLOUNT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician49079AZ
2208200000XPlastic Surgery Physician49079AZ
32086S0122XPlastic and Reconstructive Surgery Physician49079AZ
4208600000XSurgery Physician49079AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285896977
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW LOREN BLOUNT MD
Provider Business Mailing Address
First Line : PO BOX 33269
Second Line :
City : PHOENIX
State : AZ
Zip : 85067-3269
Country : US
Telephone Number : 602-406-4786
Fax Number : 916-636-4358
Provider Business Practice Location Address
First Line : 500 W THOMAS RD STE 800
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4217
Country : US
Telephone Number : 602-406-1234
Fax Number : 602-406-6368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 05/08/2025

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