Longview Orthopedic Associates, Pllc
NPI #1003865072 in Longview, Washington
Provider Information
- NPI Number
- 1003865072
- Entity Type
- Organization
- Organization Name
- Longview Orthopedic Associates, Pllc
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- May 8, 2006
- Last Updated
- Mar 3, 2025
Practice Location
- Address
- 625 - 9TH AVE.
- Address 2
- STE. 210
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2465
- Phone
- (360) 501-3400
Authorized Official
- Name
- BRUCE GRAGG BLACKSTONE, MD
- Title
- OWNER PARTNER
- Phone
- (360) 501-3400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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