Individual
ROBERT SEAN BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8661
(702) 877-5140
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-8661
(702) 877-5140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15001
NV
207L00000X
Anesthesiology Physician
ME72790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154423648
—
NV
05
—
1154423648
—
UT
05
—
252634400
—
FL
Enumeration date
09/04/2006
Last updated
01/13/2017
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