Individual
DR. ROBERT CHARLES BLACKMON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3720 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1548
(202) 561-4190
Mailing address
PO BOX 2948, WASHINGTON, DC 20013-2948
(660) 232-1857
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD035847
DC
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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