Individual
DR. HENRY BLACKMER KISTLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
214 25TH AVE N, NASHVILLE, TN 37203-1621
(615) 321-4494
(615) 320-6033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25861
TN
207W00000X
Ophthalmology Physician
Primary
G132141
CA
Other
Enumeration date
02/26/2007
Last updated
10/14/2014
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