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Dr. Charles Philip Blackshear, MD
Urgent Care Clinic/Center in Santa Clara, California
NPI 1114362175

Charles Philip Blackshear is a Urgent Care Clinic/Center based in Oakland, CA and is specialized in Urgent Care. Charles Philip Blackshear practices in Santa Clara, CA and has the professional credentials of MD. The NPI Number for Charles Philip Blackshear is 1114362175 and holds a License No. (California).

The current practice location address for Charles Philip Blackshear is 4949 Stevens Creek Blvd, Santa Clara, CA and can be reached out via phone at 408-260-2273.

Location: 4949 Stevens Creek Blvd, Santa Clara, CA, 94612-1670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114362175
Provider Name
Charles Philip Blackshear
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4949 Stevens Creek Blvd, Santa Clara, CA, 94612-1670
Phone Number
408-260-2273
Fax Number
Provider Enumeration Date
05/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4949 Stevens Creek Blvd
City
Santa Clara
State
California
Zip
95051-6661
Phone Number
408-260-2273
Fax Number
person
Provider Business Mailing Address Details
Address
4949 Stevens Creek Blvd
City
Santa Clara
State
California
Zip
95051-6661
Phone Number
408-260-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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