DR. Matthew Blackmon, DC

NPI #1073970521 in La Porte, Indiana

Provider Information

NPI Number: 1073970521
Entity Type: Individual
Name: DR. Matthew Blackmon, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 27, 2016
Last Updated: Jan 13, 2018

Practice Location

Address: 204 LEGACY PLZ W
City: La Porte
State: Indiana
ZIP Code: 46350-5285
Phone: (219) 476-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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