Individual
SHAWN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
540 S GOVERNORS AVE STE 201, DOVER, DE 19904-3530
(302) 672-4600
(302) 672-4606
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001389
DE
Other
Enumeration date
09/22/2015
Last updated
11/09/2022
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