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Individual
RICHARD BRENNAN BLACKHAM
Active
Individual
RICHARD BRENNAN BLACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
46108
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
8627317-1205
UT
Other
Enumeration date
06/13/2008
Last updated
06/08/2026
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