John Luther Blaylock

NPI #1467129478 in Phoenix, Arizona

Provider Information

NPI Number: 1467129478
Entity Type: Individual
Name: John Luther Blaylock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 26, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 2432 W PEORIA AVE
City: Phoenix
State: Arizona
ZIP Code: 85029-4726
Phone: (480) 431-5075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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