Individual
DR. CHARLES PHILIP BLACKSHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4949 STEVENS CREEK BLVD, SANTA CLARA, CA 95051-6661
(408) 260-2273
Mailing address
1389 JEFFERSON ST UNIT A507, OAKLAND, CA 94612-1670
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2013
Last updated
03/28/2019
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