| Doctor Name: | DEBBY J BLANK |
| NPI Number: | 1750604542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 42490 |
| Business Practice Address: | 5981 E Grant Rd Ste. #115 Tucson, AZ - 857122363 |
| Business Phone Number: | 5208865315 |
| Business Fax Number: | 5202988204 |
| Mailing Address: | 1951 N Wilmot Rd, Bldg. #1 Ste.# 2 TUCSON |
| State: | AZ |
| Postal Code: | 857128000 |
| Phone Number: | 5207223777 |
| Fax Number: | 5202966224 |
| NPI Enumeration Date: | 03/08/2010 |
| NPI Last Update Date: | 03/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 42490 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |