Randall J Blazic
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1646 N Litchfield Road Suite 130
Goodyear
, Arizona 85338
Randall J Blazic
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
1646 N Litchfield Road Suite 130
Goodyear
, Arizona 85338
(623) 935-6524
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Randall J Blazic
- 1646 N Litchfield Road Suite 130
- Goodyear, AZ
- Zip : 85338
- Fax : (623) 935-6524
- Phone : (623) 935-5774
Second Address
- Randall J Blazic
- 1646 N Litchfield Road Suite 130
- Goodyear, AZ
- Zip : 85338
- Fax : (623) 935-6524
- Phone : (623) 935-5774
Reviews
FAQs
Where did Randall J Blazic attend graduate school?
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In what state does Randall J Blazic practice in?
Where is Randall J Blazic ’s practice located?
What is Randall J Blazic ’s gender?
Is Randall J Blazic a sole practitioner?
Is Randall J Blazic accepting new patients?
What languages does Randall J Blazic speak?
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Does Randall J Blazic have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | D5976 | AZ |
| N | 204E00000X | Oral & Maxillofacial Surgeon | M31657 | AZ |
National Provider Identifier
| NPI | 1497843445 |
|---|---|
| Provider Name | Randall J Blazic |
| First Address | Goodyear, AZ 85338 |
| Second Address | Goodyear, AZ 85338 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.