Individual provider · Type 1 NPI

Casey Blackburn

Specialist · San Jose, CA

NPI number 1346648987 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 259-2273

Mailing address

614 N 11th St
San Jose, CA 95112-3220

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X111097739 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1346648987

Casey Blackburn's National Provider Identifier is 1346648987, issued on Dec 14, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Dec 14, 2014.