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Dr. Robert Earl Blackwelder, MD
Urology Physician in Ukiah, California
NPI 1912992413

Robert Earl Blackwelder is a Urology Physician based in Ukiah, CA. Robert Earl Blackwelder practices in Ukiah, CA and has the professional credentials of MD. The NPI Number for Robert Earl Blackwelder is 1912992413 and holds a License No. AB7832454 (California).

The current practice location address for Robert Earl Blackwelder is 260 Hospital Dr Ste 201, Ukiah, CA and can be reached out via phone at 707-463-8000 and via fax at 707-462-1111.

Location: 260 Hospital Dr Ste 201, Ukiah, CA, 95482-2739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912992413
Provider Name
Robert Earl Blackwelder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
260 Hospital Dr Ste 201, Ukiah, CA, 95482-2739
Phone Number
707-463-8000
Fax Number
707-462-1111
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ74887Z 05 CA
LAB11989F 05 CA
institution
Provider Business Practice Location Address Details
Address
260 Hospital Dr Ste 201
City
Ukiah
State
California
Zip
95482-4533
Phone Number
707-463-8000
Fax Number
707-462-1111
person
Provider Business Mailing Address Details
Address
260 Hospital Dr Ste 201
City
Ukiah
State
California
Zip
95482-4533
Phone Number
707-463-8000
Fax Number
707-462-1111
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
AB7832454 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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