Individual
DR. BRENDAN BLACKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(631) 707-3673
Mailing address
BUILDING 11, K STREET, LEMOORE, CA 93246-0001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
32475
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
11/22/2024
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