Joseph Bruce Blackburn, MD

NPI #1730183138 in Medina, Ohio

Provider Information

NPI Number: 1730183138
Entity Type: Individual
Name: Joseph Bruce Blackburn, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 13, 2005
Last Updated: Jan 7, 2010

Practice Location

Address: 1075 S COURT ST
Address 2: STE 100
City: Medina
State: Ohio
ZIP Code: 44256-3836
Phone: (330) 722-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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