Individual
DR. JAMES WILLIAM BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1449 KIMBER LANE, SUITE 103A, EVANSVILLE, IN 47715-4086
(812) 402-9600
Mailing address
1449 KIMBER LANE, SUITE 103A, EVANSVILLE, IN 47715-4086
(812) 402-9600
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12010139A
IN
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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