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Individual

ERIN BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5100 N TOWNE CENTRE DR, OZARK, MO 65721-7479
(417) 730-5510
(417) 730-5555
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036143533
IL
208000000X
Pediatrics Physician
Primary
2021013172
MO

Other

Enumeration date
06/26/2014
Last updated
05/21/2021
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