Michael Gregory Blackburn, MD

NPI #1063429652 in Puyallup, Washington

Provider Information

NPI Number: 1063429652
Entity Type: Individual
Name: Michael Gregory Blackburn, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 3, 2006
Last Updated: Jul 18, 2019

Practice Location

Address: 201 15TH AVE SW STE C
City: Puyallup
State: Washington
ZIP Code: 98371-7495
Phone: (253) 841-4243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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