Individual
AARON VANCE BLACKLEDGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ROHNERT PARK HEALTHCARE CENTER, 1450 MEDICAL CENTER DRIVE, ROHNERT PARK, CA 94928
(707) 584-0672
Mailing address
2221 MISSION BLVD, SANTA ROSA, CA 95409-3051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A80152
CA
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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