Samuel Blackie

NPI #1487547485 in Farmington, New Mexico

Provider Information

NPI Number: 1487547485
Entity Type: Individual
Name: Samuel Blackie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Management
Enumeration Date: May 30, 2025
Last Updated: Dec 3, 2025

Practice Location

Address: 1001 W BROADWAY
City: Farmington
State: New Mexico
ZIP Code: 87401-5638
Phone: (505) 325-0238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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