Gregary M. Blackner Inc. P.s.

NPI #1326146754 in Olympia, Washington

Provider Information

NPI Number: 1326146754
Entity Type: Organization
Organization Name: Gregary M. Blackner Inc. P.s.
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2006
Last Updated: Aug 30, 2010

Practice Location

Address: 403 BLACK HILLS LN SW
Address 2: B
City: Olympia
State: Washington
ZIP Code: 98502-8600
Phone: (360) 786-1297

Authorized Official

Name: DR. GREGARY M BLACKNER, MD
Title: OWNER
Phone: (360) 786-1297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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