Individual provider · Type 1 NPI
Brendan Blackford, DO
General Practice Physician · Lemoore, CA
NPI number
1164163754
Active
Practice location
937 Franklin Blvd
Lemoore, CA 93246-4700
Mailing address
Building 11, K Street
Lemoore, CA 93246-0001
Other practice locations
- 5001 Hardy St, Hattiesburg, MS 39402-1308 · (601) 296-3680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 32475 (MS) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1164163754
Brendan Blackford, DO's National Provider Identifier is 1164163754, issued on Apr 6, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lemoore, CA. The record was last updated on Nov 22, 2024.