Organization · Type 2 NPI
Michael G. Blackburn, M.d. , Inc. P.s.
Primary Care Clinic/Center · Puyallup, WA
NPI number
1285801480
Active
Practice location
201 15th Ave SW Ste C
Puyallup, WA 98371-7495
Fax (253) 864-9452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD00019306 (WA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1285801480
Michael G. Blackburn, M.d. , Inc. P.s.'s National Provider Identifier is 1285801480, issued on May 15, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Puyallup, WA. The record was last updated on Jul 23, 2019.