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Robert Blackmon, MD
Military Health Care Provider in Silverdale, Washington
NPI 1851772891

Robert Blackmon is a Military Health Care Provider based in Bremerton, WA. Robert Blackmon practices in Silverdale, WA and has the professional credentials of MD. The NPI Number for Robert Blackmon is 1851772891 and holds a License No. 30420 (Washington).

The current practice location address for Robert Blackmon is 2050 Barb St, Silverdale, WA and can be reached out via phone at 360-315-4391.

Location: 2050 Barb St, Silverdale, WA, 98337-1471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851772891
Provider Name
Robert Blackmon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2050 Barb St, Silverdale, WA, 98337-1471
Phone Number
360-315-4391
Fax Number
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2050 Barb St
City
Silverdale
State
Washington
Zip
98315
Phone Number
360-315-4391
Fax Number
person
Provider Business Mailing Address Details
Address
2050 Barb St
City
Silverdale
State
Washington
Zip
98315
Phone Number
360-315-4391
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
30420 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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