Bruce Alan Blackhart, M.D.
NPI #1700874286 in Oakdale, California
Provider Information
- NPI Number
- 1700874286
- Entity Type
- Individual
- Name
- Bruce Alan Blackhart, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Oct 10, 2005
- Last Updated
- Feb 4, 2015
Practice Location
- Address
- 1425 W H ST
- Address 2
- STE 200
- City
- Oakdale
- State
- California
- ZIP Code
- 95361-3588
- Phone
- (209) 848-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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