ADAM BLYSTRA

CEP AMERICA- ARIZONA, PC

Dr ADAM BLYSTRA is a male medical professional, specializing in Emergency Medicine. He graduated in 2011 from Arizona College Of Osteopathic Medicine Mid Western University.

Contact

CEP AMERICA- ARIZONA, PC

10401 W THUNDERBIRD BLVD
SUN CITY
AZ
853513004

Tel: 6238324000

ADAM BLYSTRA Information

Npi 1073860441
Pac Id 4587889795
Professional Enrollment Id I20140702000216
Last Name BLYSTRA
First Name ADAM
Middle Name
Suffix
Gender M
Credential
Medical School Name ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year 2011
Primary Specialty EMERGENCY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CEP AMERICA- ARIZONA, PC
Group Practice Pac Id 1850541970
Number Of Group Practice Members 20
Line 1 Street Address 10401 W THUNDERBIRD BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SUN CITY
State AZ
Zip Code 853513004
Phone Number 6238324000
Hospital Affiliation Ccn 1 030093
Hospital Affiliation Lbn 1 BANNER DEL E. WEBB MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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