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Search › Arizona › 390200000X

Jacob Blank, DO

NPI 1619618907 · on the registry since 2022

Practice

Address
775 E Willetta St
Phoenix, AZ 85006
Phone
(480) 581-3900
Fax
(512) 628-3314
Organisation at this address
Bhsm Rehabilitation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
208100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-31

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