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Douglas Blacklidge, DPM
Foot & Ankle Surgery Podiatrist in Kokomo, Indiana
NPI 1003901133

Douglas Blacklidge is a Foot & Ankle Surgery Podiatrist based in Kokomo, IN and is specialized in Foot & Ankle Surgery. Douglas Blacklidge practices in Kokomo, IN and has the professional credentials of DPM. The NPI Number for Douglas Blacklidge is 1003901133 and holds a License No. 070007898 (Indiana).

The current practice location address for Douglas Blacklidge is 2341 W Lincoln Rd, Kokomo, IN and can be reached out via phone at 844-424-3668 and via fax at 317-575-6909.

Location: 2341 W Lincoln Rd, Kokomo, IN, 46902-8012
person
Provider Profile Details
NPI Number
1003901133
Provider Name
Douglas Blacklidge
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2341 W Lincoln Rd, Kokomo, IN, 46902-8012
Phone Number
844-424-3668
Fax Number
317-575-6909
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200058240 05 IN
institution
Provider Business Practice Location Address Details
Address
2341 W Lincoln Rd
City
State
Zip
46902-8012
Phone Number
844-424-3668
Fax Number
317-575-6909
person
Provider Business Mailing Address Details
Address
2341 W Lincoln Rd
City
State
Zip
46902-8012
Phone Number
844-424-3668
Fax Number
317-575-6909
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
070007898 (Indiana)
Definition
Definition to come...
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