DR. Richard Jay Blackburn, DO
NPI #1275519878 in Ravenswood, West Virginia
Provider Information
- NPI Number
- 1275519878
- Entity Type
- Individual
- Name
- DR. Richard Jay Blackburn, DO
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 705 WASHINGTON ST
- City
- Ravenswood
- State
- West Virginia
- ZIP Code
- 26164-1729
- Phone
- (304) 868-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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