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ROBERT HENRY BLACKWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 N 8TH ST, PAV 4B, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-7305
Mailing address
301 N 8TH ST, PO BOX 19665, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-7305

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036138479
IL

Other

Enumeration date
05/28/2010
Last updated
10/18/2020
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