Individual
DR. JOHN TIMOTHY BLACKWELDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 LANCER DR, WALLA WALLA, WA 99362-9275
(509) 529-5541
Mailing address
1240 LANCER DR, WALLA WALLA, WA 99362-9275
(509) 529-5541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00020601
WA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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