Search › Arizona › 1223S0112X
Randall Blazic, DDS MD
NPI 1497843445 · on the registry since 2006
Practice
- Address
- 13980 W Avalon Dr Ste 120
Goodyear, AZ 85395 - Phone
- (623) 935-5774
- Fax
- (623) 935-6524
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 204E00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona