MR. Will Richard Blackmon III, PA-C
NPI #1073925160 in Emeryville, California
Provider Information
- NPI Number
- 1073925160
- Entity Type
- Individual
- Name
- MR. Will Richard Blackmon III, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 23, 2014
- Last Updated
- May 13, 2016
Practice Location
- Address
- 2100 POWELL ST
- Address 2
- SUITE 920
- City
- Emeryville
- State
- California
- ZIP Code
- 94608-1826
- Phone
- (925) 939-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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